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<br /> REQUEST FOR PUBLIC FUNDING
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<br /> Non-profit agencies requesting funding from the City of Paris for projects that benefit the citizens of Paris must complete
<br /> the following information to be eligible for consideration (you may use additional pages, if necessary)- In addition, please
<br /> submit with this form a copy of your agencys most recent financial statement or audit and a detailed budget for the
<br /> project- Agencies must also make a brief presentation on their project at a city council meeting.
<br /> Agency Name: Shi e L4u_ 0cue,,,nes l=c,' 1 -lpu, 11C (~i 4,jr i X (5r L_d Date: - 7- i 1
<br /> Agency Mailing Address: t=,. 661 ,~~7 rA t Lo it P I e d,_a ~ t TX 25q 5~- 21L/
<br /> Agency Phone Number: yo 3 .5 Agency Pare Number: Ft b 3 S 7~ - 0'^/?a
<br /> Contact Person: P 2 c)L 6R e5 h, m Contact's Title: r Xe e u+i Lt b. >z_ c+c• r
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<br /> Contact's Mailing Address: e- V. r O~ 33,E t1,1 t 9 LC aQf )t i x! 7 5 4 S t-,
<br /> Contact's Phone Number: D 5 5 'l o 3 Contact's Pair Number: cQ 5'7 t~ ct ~
<br /> Contact's Email Address: ~~pc+o✓ rL~e - tc~c eneL4 . c" ern
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<br /> Name of Project: V; 01 <•acc_ i 5e x-uLi ( G s a 4 (i t 5 c i s r"u S
<br /> Location/Service Area of Project: 5 iu PcL r,5 TX
<br /> Summary of Project: Ttt n1et i,,+ni,%
<br /> (L/~ i tt {?l r;~/ ~t (?'L Ii/IS! inL.i ~'~"1S iyt +C % ~r1~1 c)1 a L~G'LIS•nC Lid i_S FLi/1LI /'i~~ C4,ew a LLA I
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<br /> 1`(~I~rc{it~c X71i;~s~~nns.~~,~1~f c,r~ Qn i~r~(fit: 1;,~tn~ to r.k~nl Lise-,,.L(b at lc.cect
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<br /> Describe hove your project,%U benefit the City of Paris and its citizens: t~j i . . S to t S y Ne, 7; It
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<br /> C~ lCt.~t Qaf S Lf 41Im r~,l (rr-6 S IAP Ik (C JvYr/I'Y 01 A--6I L) tent( St y ; ce-9 +v
<br /> 61,% r l r,Ae2-y_ tt(&k--k- M ,xrt (~l2"/ [~i f_` I~ ifl. .t, U'(f j}j S 04 1 aftt,;_ i tw't~~F,1GL G LL,ttil ~C~ j~/~F_
<br /> ti tm_u~, t,-l i'1-t Lt C r i, n cr1 S CLta~ C t cE. t7Lc_ ~ vit L e"gym ~ tae,, r1~
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<br /> List other sources of funding for this project and the amounts:
<br /> (art r~ F6itorla~;e~~ ~ I coa
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<br /> Is a detailed project budget, including columns and descriptions for allocations of city funding and the agency's
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<br /> matching funds, attached? Q Yes ❑ No k,2-~t LIEati, bL z(c{.et
<br /> Is the agency's most recent financial statement or audit attached? 21"fes ❑ No
<br /> Have you received funding from the City of Paris in the last five years for this or any other project? [I.'Yes ❑ No
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<br /> If you have received previous city funding, list the name of the project, the amount of the City's award, and the
<br /> year awarded: b„/c,/2l
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<br /> City of Paris Revised 6110108
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<br /> EXK`1 b 'ii "A l'
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