Girl Scouts of Southeast Florida - Commissioner Hay R15-055
R22-140
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: September 7, 2023
Requested by Mayor/Commissioner: Commissioner Hay
Amount Requested: $1,000.00
Recipient/Payee: Girls Scouts of Southeast Florida_
Description of project, program, or activity to be funded:
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $6,000.
The balance of funds available for the requesting Member of the Commission is
$2,000.
Accordingly:
✓ There are funds available as requested
There are insufficient funds available as re•ues -
Dated: 9P/A:7) B : ,. .J 11111
ayle- I: Jesus, Ci Clerk
Part III-Eligibility Evaluation
✓ Public funds will not be used to improve private property unless there is a clear
public need, purpose and benefit
✓ The recipient/payee provides services within the City
✓ The public purpose is beneficial to the entire community served by such donation
Dated: By:
Requesting Member of the City Commission
S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2022-2023\Comm Hay\Girl Scouts of Southeast Florida.doc