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RECEIVED <br />REQUEST FOR PUBLIC FUNDING UN ' 9 Z011 <br />Non-profit agencies requesting funding from the City of Paris for projects that benefit the <br />~ftftust complete <br />the following information to be eligible for consideration (you may use additional pages, if EM~rfED"ddition, please <br />subinit 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: I-t sA_ RR 6` -I-aS Datp,; ~e o~ t 1 <br />Agency Mailing <br />Agency Phone Number:_-9 C)~- `,I -t~ S y ~ Agency Fax Number: `Y <br />C` qa 3-'~ ~'1- y 30 ~ <br />Contact Person: JY\ Q (`0 F- U..Dy t,J tS Contact's Title: <br />Contact's Mailing Address: 't>&M P <br />Contact's Phone Number: c~a. M4 Contact's Fax Number: ~M <br />Contact's Email Address: <br />Name of Project: A) <br />Location/Service Area of Project: <br />Summary of Project: Utd p -A <br />.,<A44,~ rA -d Lz.vKa r, QQ c4 kE otr0"91 flef=f-,3 F <br />& A~ <br />Describe how your project will benefit the City of Paris and its citizens: <br />M <br />List other sources of funding for this project and the amounts: I,V,Q Q(`t <br />7ior-O U~ e0-on~ <br />pl, - a t, l . <br />Is a detailed project budget, including columns and descriptions for allocations of city funding and the agency's <br />matching funds, attached? ~g Yes ❑ No <br />h) <br />Is the agency's most recent flnancial statement or audit attached? 4 Yes ❑ No <br />Have you received funding from the City of Paris in the last rive years for this or any other project?:ErYes 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 />ti - - <br />year awarded: <br />2 <br /> <br />City of Yaris <br />EXHIB{T <br />Revised 6/10/08 <br />(D <br />