Greater Boynton Foundation - Com. Fitpatrick ❑ FORWARD CHECK.
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $ 1,500.00 .
TO: GREATER BOYNTON BEACH FOUNDATION
1375 GATEWAY BLVD
BOYNTON BEACH FL 33426
FOR: To assist with costs associated with a community clean-up event at the Old High School
Expenses such as supplies, mold study to ensure air quality, etc.
(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 1,500.00
Div Head S • /Y)- /
- et M. Prainito
Finance Dept.
Tim Howard
City Manager
Lori LaVerriere
1,500.00
R15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: /1 5 E/° a,0/6—
Requested by Mayor/Commissioner: F (1-2. to A ;ale lc.
Amount Requested: $ /,-cone'
Recipient/Payee: - rr u,+
ae,-,0y,4,,6. CLC!f eg4ow
Description of project, program, or activity to be funaet1"e, uc aysss
e_%a to a __yit u Ad/ %.ee-.;i- eiz/ 14. fie,.d tel Ac. ®6
A•12•01s _ . ` .< ;/-0 / s& i
•
Part II -Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $,,e-trZi .
The balance of funds available for the requesting Member of the Commission is
$ •—o
Accordingly:
E There are funds available as requested
❑ There are insufficient funds available as requested
Dated: q/rf,&0/5' By: ),./tei.Ofba
City Clerk
ontry
Part III-Eligibility Evaluation
R- 4ublic 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
/he public purpose is beneficial to the entire commu 'ty served by such do ation
Dated: /t I'd '/1c By: ' A' 4
Requesting Member of t - City Comm sion
S:\CC\WP\COMMUNITY INVESTMENT FUNDS\Community_Support_Funs_Policy.2015.doc