Sister Cities - Com. Fitzpatrick I/ FORWARD CHECK.
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ 300.00 .
TO: SISTER CITIES PROGRAM
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
FOR: To assist with costs associated with the essay writing and art contests
(Commissioner Fitzpatrick's Community Support Funds)
Requested By: Janet M. Prainito Date: September 22, 2015
Approvals:
FUND DEPT BASIC ELE OBJ AMOUNT
001 1110 511 95 47 300.00
Div Head 7► @ . �/L
J net M. Prainito
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
300.00
R15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: II 5( 'P oZ ofr
Requested by Mayor/Commissioner: •Flt a L. 14-Twice.
Amount Requested: $ 349.0
Recipient/Payee: c�sfev► G�ty ra�a`�
Description of project, program, or activity to be funded: i.5se r,010-4/
eco, a1,4 c®,f4,4e0
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is Saito; .
The balance of funds available for the requesting Member of the Commission is
$/ ,00
Accordingly:
IET.here are funds available as requested
D There are insufficient funds available as requested
Dated: r // off' By: • - '0
City Clerk
Wa zy
Part III-Eligibility Evaluation
®/Public funds will not be used to improve private property unless there is a clear
public need, purpose and benefit
V The recipient/payee provides services within the City
El/The public purpose is beneficial to the entire corn unity served by suc donation
Dated: II 5C eclait By:
Requesting Member the City C mmission
S:\CC\WP\COMMUNITY INVESTMENT FUNDS\Community_Support_Funs_Policy.2015.doc