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Historical Society ❑ MAIL CHECK TO VENDOR E 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 #: 7354 TO: Boynton Beeach Historical Society POB 12 Boynton Beeach, FL 33425 FOR: Community Support Funds distribution Mayor Ty Penserga City of Boynton Beach Requested By: Catherine Cherry Date: September 9, 2024 FUND DEPT BASIC ELE OBJ AMOUNT Approvals: 001 1110 511 83 05 500.00 Div Head 1` Maylee D:• esus 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 Historical Society Description of project, program, or activity to be funded: Part II - Availability of funds • ck� f The annual appropriation of funds available to the Commission listed above is $6,000. The balance of funds available for the requesting ,() L' (3 l $2,000. 66Ft--Accordingly: '3 3 L �5 , ✓ There are funds available as requested There are insufficient funds available as rE Dated: q\c!tea' I Byv Maylee [e sus, City6erk 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 sery-d by such donation Dated:41f By: Requesti ,, -�:- e City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2023-2024\Penserga\Boynton Beach Historical Society.doc