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City Manager's Office– M-31 <br />City of Santa Ana 20 Civic Center Plaza <br />_j�- <br />i- { Donation Request P.O. Box 1988 <br />Santa Ana, CA 92702 <br />,'.-5 <br />�" (714) 647-5200 <br />'Contact <br />Information <br />IName— Kevin Cabrera ale: Exec. Director <br />ddress: <br />3101 W Harvard St <br />Fitystate, zip: <br />I Santa Ana, Ca. 92704 Phone: <br />714-733-0709 <br />Emall: <br />kcabrera@hedtagemuseumoc.org Fa x: <br />• .- <br />Name: Heritage Museum of Orange County <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as Select One: <br />_efined.under.Section 501(c)(3) of the.IntemalRevenue.Code7_---- - —zYes E] No— <br />—_ <br />1f No, you wig only quality for a credit for City -related costs foryour request (i.e. permit fees,Ifax If Yes <br />,tafftime, rental rates for facilities or equipment,etc.).Costs for City services vary and if I F95-3665050 <br />credit may ormay not cover full cost of requested City services. (rID #: <br />approved, <br />) o <br />(CityCl y Services Date Needed: October 1 Mayor/Coul ncllmemher. <br />Benevides <br />Amount Requested: I����� <br />Direct Payment Amount -i 50� <br />Eventl Date: October 26 Event Time: <br />e: 3 r1nj – 9 nnl <br />iRequested: <br />i r' r <br />Event Location: <br />eritage Museum of OC <br />F3101 <br />Address, Ory, State, Zip <br />W Harvard St, Santa Ana, CA. 92704 <br />skull class showing youth how to make and decorate sugar skulls as part <br />Description of <br />FOfDia <br />Event Purpose: <br />de Los Muertos, and Ghosts of OC Trick or Treat on the museum property. <br />Community Benefit: These event will be free to the community and we will be inviting SAUSD schools <br />to participate. <br />Applicant Signature: —\ \I ---Dat 13 Z� r — <br />I I UJ <br />VVVIII/// .. <br />co'MiDleted fbim Via: <br />Mail: City Manager's Office–M-31rF <br />mail: cionattonrequest&anta-ana.org <br />20 Civic Center Plaza <br />ax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request #: DR - <br />Council Meering Date: <br />Rarcranco r. on n!1 rcfated OPVs <br />Eligibility Met: YES! NO Approved Amount: <br />City Manager Signature: I Date: <br />Revised 0110512017 <br />2aXWBT <br />9AI.13 <br />