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City Manager's Office - M-31 <br />fro City of Santa Ana 20 Civic Center Plaza <br />Request P.O. Box 1988 <br />Donation Re t <br />q Santa Ana, CA 92702 <br />- (714) 647.5200 <br />,NamesNatividad Alvarado um: Executive Director <br />iddrcss: 1920 E. 17th Suite 202 <br />P <br />city, State, zip: Santa Ana, Calif, 92705 iPhone, 714-267-7747 <br />Email, — nati@ngservices.org Fax: <br />Name: I Natis House DBA Neutral Ground <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as <br />efined under Section 501(c)(3) of the Internal Revenue Code? <br />Select One: <br />Yes ❑ No <br />o, you nill only qualify fora credit for City-relafed costs for your request (i. e. pefmil fees,rayx�15 <br />�Eroved, <br />l time, rental ratesforfacilities or equipment,etc.). Costs for City services vary and it <br />45-4041042 <br />credit may or may not cover full cost of requested City services. <br />0. <br />�Donation Request <br />City Services Credit Date Needed: 07-15-1$ <br />MayorlCouncllmembor: <br />Villegas <br />mount Requested: <br />ID'roe'Pay( mentAmount �v <br />2 <br />Event Date: JUIYBrAUg vent 7-10pm <br />IRequestetl: <br />I <br />Event Location: <br />W.Civic Center - r. ants na, Ca—I,If90270 <br />Address, City, State, Zip <br />ummer Night Lights <br />Description of <br />licJi5 VU30 - �ru.riLus med;<. ->^ c...r} „�}cry e(. }-:.,.[ .s erv�u.s }. sankr+ <br />-f(v- <br />Event i Purpose: <br />P -C, 14. Fkl n..[1• F"'..%;..+ ,^ ..-.[-d, �L-.U.-V•-+.-- +..a sP...sJ(s�.:� <br />0'1 <br />an amifes <br />Community Benefit: <br />Fot <br />C>�.. rv. �..=+..1 I. cr. e4iFc fa.-. N�fif 1UJi.. sw;uls a..d �,. (c.,- b, <br />[J,,l-5 1Z{.., c1. nIL.-3cr,lsv�1%[ <br />Applicant Slgnatdre:. <br />... - <br />Date <br />- <br />a7-�Ci ib <br />:. <br />Mail: City Manager's Office -M-31 <br />Email: donationrequest@santaana.org <br />20 Civic Center Plaza <br />pax; (714) 847-6854 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Ruquert #: OR - <br />nofnrnnre N 0110N.rnl.d nPVe Council Meeting Date: <br />Eligibility Mut: YES 11J0 Approved Amount: <br />C Iy.rArmagur Signature: j Date: <br />Revised 01/052017 <br />s <br />iW.T..7y—Fail <br />