Laserfiche WebLink
REQUEST FOR PUBLIC FUNDING <br />ivon-prorit agencies requesting rundmg trom the C,ity 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 agency's 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: ~'(Y1~.rt~l(~ ~ l..t"OSS yvAqr epdAC ~Date• <br />Agency Mailing Address: o3 Nor'h okat, ~V\ <;4 ~(It 'e, <br />Agency Phone Number: C1 03 ~ 73 7' Z-1 ~NQ Agency Fax Number:~~~ - 79 a- G 3 q~ <br />Contact Person:_ rO~.C~`~ Contact's Title: ~I r~E1,~ r <br />Contact's Mailing Address:,-9 lo 7 Z, N 0t'4AX 1~4~v~ <br />Contact's Phone Number: r'I 03' 7 3]-It 3i 0 Contact's Fax Number:9 D-S 7 Pa'~i 3~yL <br />Contact's Email Address:_ <br />a -C <br />Name of Project: 2 G S ~ r <br />Location/Service Area of Project: ,-;t L 7 N 0 r A\aivt5~-; .T <br />Summary of Project: <br />S <br />Describe how your project will benefit the City of Paris and its citizens:~~ <br />~.►VweM AM~►'KQ/1f`_C~M~~(A l\G.A11e.~nn kJ.. n .nn-- L- ^ - .1i- - <br />List other sources of funding for this project and the <br />Is a detailed project budget, including c lumns and descriptions for allocations of city funding and the agency's <br />matching funds, attached? ❑ Yes No <br />Is the agency's most recent financial statement or audit attached? [v~yes ❑ No <br />Have you received funding from the City of Paris in the last rive years for this or any other project? kyes ❑ No <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: 'aO f'~ lo ~ O o 7 ;~00 $ D,,p 0~ ;),Q► ci i (O 0 a~) <br />City of Paris ~ <br />E X H I B 17 Revised 6/10/08 <br />