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Boynton Beach Bulldogs Youth Football ❑ MAIL CHECK TO VENDOR El RETURN CHECK TO DEPT. ❑ INCLUDE BACK-UP W/ CHECK CITY OF BOYNTON BEACH DIRECT PAYMENT REQUISITION Please issue a check in the amount of $ 500.00 VENDOR#: 16274 TO: Youth Enrichment Association for Academics 548 NW 13th Ave Apt B Boynton Beach Florida 33435 FOR: Community Support Funds distribution - Boynton Beach Bulldogs Youth Football Program Mayor Penserga City of Boynton Beach Requested By: Tammy Stanzione Date: September 9, 2024 FUND DEPT BASIC ELE OBJ AMOUNT Approvals: 001 1110 511 83 05 500.00 Div Head I 9' Mayle: De -sus ' i Finance Dept. City Manager Daniel Dugger 500.00 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: August 15, 2024 Requested by Mayor/Commissioner: Mayor Penserga Amount Requested: $500 Recipient/Payee: Boynton Beach Bulldogs 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 $3,500. Accordingly: ✓ There are funds available as requested There are insufficient funds available as reques -d Dated: �-✓ • Oil I SI B • .� 1_ Maylee esus, City ' lerk 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:1 frJdc)2J By: Request' - 11. e City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2023-2024\Penserga\Boynton Beach Bulldogs.doc