Commissioner Penserga Citrus Cove Elementary •
•
R15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: OC-{.o y+201 61
Requested by Mayor/Commissioner: CofAm;ss,a��•Tq tSe.1a
Amount Requested: $ WOO. 0)0
Recipient/Payee: C` S Cole Ele. en-4-u
Description of project, program, or activity to be funded: C.;.}-,ruts (eve via As
Pones Cor k retAttn/pkon,`c5 rorrArk Catted W l&Dn FiAnda+Itocks,
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $ po, --0----.
The balance of funds available for the requesting Member of the Commission is
$c).1 OQ0. g-f-)7
Accordingly:
There are funds available as requested
There are insufficient funds available as requested
Dated: /O/`ll aoi'q By: .i.Ji it.t •�
City 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: /0//0/4 By: ,r
Re. - :.:.:rffi't' ity Commission
S:\CC\WP\COMMUNITY INVESTMENT FUNDS\Community_Support_Funs_Policy.2015.doc