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 make -,k presentation on their project at a city council meeting. Agency Name: l ~'(Y)e.1' iCa0 11~\ 1~COSS `IVIaC ~UOA l,,`4~Date: _ Agency Mailing Address: o3 NOCA- ma" 'Lux -f U~~~, n q Agency Phone Number: q 0.3 ` 73 7 - L137 D Agency Fax Number: 3 I Contact Person: ro S~. o Contact's Title: ~,~,U'~" V U`, t 2045 r~ Contact's Mailing Address:_,, to ~yp(- ~LQ V%N b-}~ I I d Contact's Phone Number: C 6 3' 73 7 - If 3e 1 y Contact's Fax Number: 9 0 3 7 UO a Contact's Email Address: _Sc- -C QQ Name of Project: 2 G& ,Nss e- J r o ►GCs Location/Service Area of Project: 2 7 ~ N O r A" ~ 1 ►~~Q ~v\5-) SO ~ L Summary of Project: . ~ Jllh! \,w~ ~ v \ ST vV Describe how your project will benefit the City of Paris and its citizens: AM- I AA 1) _J 41/1A,^ List other sources of fundin for this project and the anion ts: MI W Is a detailed project budget, includi;7No lumns and descriptions for allocations of city funding and the agency's matching funds, attached? ❑ Yes Is the agency's most recent financial statement or audit attached? 121/yes ❑ No Have you received funding from the City of Paris in the last five years for this or any other project? [WYes ❑ 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: `:10 C~ lv aO O 7 x,100$ 0 a~ CJ (O d City of Paris EXHIBIT Revised 6/10/08 QA