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HOB Com. Assoc. El MAIL CHECK TO VENDOR O 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 #: 19207 TO: Willy Aikens 726 NE 1st St Heart of Boynton Community Association Boynton Beach FL 33435 FOR: Heart of Boynton Community Association 202 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 ODivHead ' Mayle:• De -sus 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: Heart of Boynton Association 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 $4,500. Accordingly: ✓ There are funds available as requested There are insufficient funds available as reques -d Q1� 1S-1?0?-{-1 I � Dated: B : Maylee Pe ,esus, City erk Part III-Eligibility Evaluation 9 y ✓ 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 urpose is beneficial to the entire community served by such donation Dated: al k I��o By: Request.- .er of the City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2023-2024\Penserga\Heart of Boynton.doc