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P2P Healthier Boynton Beach ❑ MAIL CHECK TO VENDOR 0 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 #: 15465 TO: Pathways to Prosperity, Inc. 970 N. Seacrest Blvd. Boynton Beach Florida 33435 FOR: Community Support Funds - Healthier Boynton Beach Mayor Penserga Requested By: Tammy Stanzione Date: September 10, 2024 FUND DEPT BASIC ELE OBJ AMOUNT Approvals: 001 1110 511 83 05 500.00 Div Head .1.11" //A Mayle Di 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: Healthier Boynton Beach 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 $2,500. Accordingly: ✓ There are funds available as requested There are insufficient funds available as r-quest:d Dated: 41_.(1__ _ _ Maylee De T-sus, City P 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 is beneficial to the entire community served by such donation Dated: QI ICI doot-iBy: Requestj g '"."�:- . e City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS FY 2023-2024\Penserga\Healtheir Boynton Beach.doc