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Community Support Funds - Boynton Strong ❑ MAIL CHECK TO VENDOR 0 RETURN CHECK TO DEPT. ❑ INCLUDE BACK-UP W/ CHECK CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount of $ 1,000.00 VENDOR # : 18314 TO: Boynton Strong Community Outreach&Training 2405 Quantum Blvd. Boynton Beach Florida 33426 FOR: Community Support Funds distribution Commissioner Hay City of Boynton Beach Requested By: Tammy Stanzione Date: January 6, 2023 FUND DEPT BASIC ELE OBJ AMOUNT Approvals: / 001 1110 511 95 47 1,000.00 Div Head ...I Tammy St-.nzione f.r Mayle De Jesus Finance Dept. Mara Frederiksen City Manager Daniel Dugger 1,000.00 a 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: 12/12/22 Requested by Mayor/Commissioner: Commissioner Hay Amount Requested: $1,000 Recipient/Payee: Boynton Strong Description of project, program, or activity to be funded: to help with several events that are held throughout the year in the Community. Part II - Availability of funds The annual appropriation of funds available to the requesting Member of the Commission listed above is 5,000. The balance of funds available for the requesting Member of the Commission is $1,000. Accordingly: There are funds available as requested 7 E There are insufficient funds available as eq e•.ted f ,�I / Dated: /�//402`-� ...---0(NTON�.-i, 4 / _ % 1 v- F'.F7.,IMayl: e Bo Jesus Ci lerk - : SEAL ._ . Part III-Eligibility Evaluation S INCORPORATED I% 1920 .• / Public funds will not be !,;ea' .imprt ve :rivate property unless there is a clear blic need, purpose and .' - i OR1at L/au ie recipient/payee provides services within the City The public purpose is beneficial to the entire community served by such donation Dated: 4/?--"/9-V -9-' /By: ,�� - -t, K "4 Requesting Member of the ' T — • mission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2022-2023\Commissioner Hay Boynton Strong.doc