Mayor Grant - The Lord's Place001'1.55
R15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQ UES T FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: 2/18/2020
Requested by Mayor/Commissioner: Mayor Steven B. Grant
Amount Requested: $ 200.00
Recipient/Payee: The Lord's Place
Description of project, program, or activity to be funded: The Lord's Place is dedicated
to breaking the cycle of homelessness by providing innovative, compassionate
and effective services designed to end homelessness. Funding will support the 13th
Annual SleepOut event on April 3, 2020 (,see attached).
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $ 2,000.00 _-
The balance of funds available for the requesting Member of the Commission is
$ 600.00
Accordingly:
There are funds available as requested
❑ There are insufficient funds available as requested
Dated: By:
City Clerk
Part III -Eligibility Evaluation
B" Public funds will not be used to improve private property unless there is a clear
public need, purpose and benefit
Y The recipient/payee provides services within the City
The public purpose is beneficial to the en ire c mm ity ed by such donation
Dated: By:
Requesting Member of the City Commission
❑ MAIL CHECK TO VENDOR D RETURN CHECK TO DEPS INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of
TO: The Lord's Place
P.O. Box 3265
West Plam Beach, Florida 33402-3265
FOR: Community Investment Funds
r Grant Community Investment Funds
Requested By: Queenester Nieves
Approvals:
3j y;aab
Div Head
Finance Dept.
City Manager
$200.00
VENDOR #: 17336
Date: February 27, 2020
FUND
DEPT BASIC
ELE
OBJ
AMOUNT
001
1110 511
95
47
200.00
200.M