11-18 Amendments to the city charter

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REQUEST FOR PUBLIC FUNDING Non-profit agencies requesting funding from the City of Paris for projects that benefit the citizens of Paris must complete the following information to be eligible for consideration (you may use additional pages, if necessary). In addition, please submit with this form a copy of your agency's most recent financial statement or audit and a detailed budget for the project. Agencies must also makea brief presentation on their project at a city council meeting. Agency Name: Lamo)( C0U -6 A V%^ IV U% PG647Q),"Ce5 Date: ~ Agency Mailing Address: P • 0 • -60\1 d pyi c-~ ,1 ,5 y to ( Q Agency Phone Number: qo '1 %A - VS 9n Agency Fax Number: q 03 • 1 OL 2~0 7J 1 Contact Person: 11 OlX1 t Contact's Title: Contact's Mailing Address: SO._Me, 0.S AJOOkVe2 Contact's Phone Number: Contact's Fax Number: Contact's Email Address: Cory) ` G~11f1°~~_1SU{JC~~QJY1` f1~ 1 1 Name of Project: Meoak 0,L WV1{GS Location/Service Area of Project: Q`` fi,5 y bna ay Lo" Summary of Project: S Qom. Yk+tGt.c)o1 -DK m Describe how your project will benefit the City of Paris and its citizens: See ~(4a_C_ s eA 4~arrn List other sources of funding for this roject and the amounts: S e e pv4" -Q2f no Is a detailed project budget, including columns and descriptions for allocations of city funding and the agency's matching funds, attached? QY'es ❑ No Is the agency's most recent financial statement or audit attached? SR` es ❑ No Have you received funding from the City of Paris in the last five years for this or any other project? es ❑ No If you have received previous city funding, list the name of the project, the amount of the City's award, and the year awarded: S e T'CC,~C ~Q City of Paris Revised 6/10/08 125