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Delta Sigma Theta ❑ MAIL CHECK TO VENDOR 111 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 #: 9090 TO: Delta Sigma Theta POB 2212 West Palm Beach, FL 33402 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 Maylee D4 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: Delta Sigma Theta Description of project, program, or activity to be funded: First Time Home Buyer's Program 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 $1,000. Accordingly: ✓ There are funds available as requested There are insufficient funds available as re•uest••d Dated: CAS I B,• .01 Maylee se . .-sus, 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 se ed by such donation Dated: cil'SI2td By: L� Reques • �!�'� the City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2023-2024\Penserga\Delta Sigma T eta.doc