Girl Scouts ❑ 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 #: 17500
TO: Girl Scouts of Southeast Florida
6944 Lake Worth Road
Lake Worth, FL 33467
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 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: Girls Scouts of Southeast Florida
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
$6,000.
Accordingly:
✓ There are funds available as requested
There are insufficient funds available as reque -.
Dated: q Sal B lM-
Maylee I : esus, Ci • Clerk
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: C1, 1 larov4 By:
Reque • --:e •f the City Commission
S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2023-2024\Penserga\Girl Scouts of Southeast Florida.doc