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Cfty Manager's Orrice - M-31 <br />?, '" <br />City X16 Santa Ana 20 Civic Caister plaza <br />r <br />Donation suet N zo�g_ P.Ot Box 1088 <br />,. '� � !� 272.02Santa Ana, CA 92702 <br />(714j847-5200 <br />777777!mT: <br />. <br />City, awe, 2€p: CCfa7rPhone. 7/ �.tec� u�,l�✓"0 ^cV� 7.J3. <br />•. <br />�y o <br />C t v� Fax: "771 c( <br />Ercall. , LL C Q L4-1 <br />Name: % } + j <br />✓"%� � `aw.. 1tQt'?l "tom L(( �•�W�Gt rip's <br />Tax -Exempt Status: Is your organ zat on a nonprofit ii public tax-exempt organization as select One.(— <br />defined under Section 541(c)(3) of the Internal Revenue Coda's { ,fit Yes t t No <br />tfVc,youv>illonly qualikfdracredit for Olyrelatodcosts foryourrequest (t.e.lrermitless, IfYoa 7_ S <br />ah fi flrn® rental rates fat afHtias alaquipment stc.).Ctdsla Par Citysarvicesvary and it y <br />alrproved, credit may or may not cover full cost of requested Cityservices. Tax ID tf: f <br />City 8arv10as Cradtt <br />Amount Requested: 3 Data Neezedt ayoriCountilmamber Please Choose Prom the List Below <br />Direct Payment Amount ° �7 <br />Ra uested: $$StiO Event Data, Event 7lma ivIARTINEZ <br />Event Location:k` Lv t" S c t�t i S �3 ' 4. ss Gt �q_ U s S e l ( "7 6 C 64s <br />,Address. CO, Stats, 21p <br />,{�-^4�li�S�tirq �a'C��.GcerS �` nnu.oC� Sctwzcrt+?-t' �)ca�ic� 4' �orwrCPr <br />Description of ? {� 9 ` nr I <br />C <br />EventIPurpose: a yy� G2Q`�UC T f t,C t� t ul (u4i i y7Y t <br />L� v; S i G.. (.,t,.ut �' '�t' fait+:. `.`s•k�l.r�j :.... r .d :. uyrv, � C`�'t c� 1 G+t C%E. <br />1.:1. 0 v7 <br />Community 0anaflt: 1 U c r3 (l t o J t <br />_ j <br />CID <br />ApplicantSlgmdurat Date: <br />Mail: City Manager's Office M41 Email: donationrequestQsanta aa,org <br />20 civic Center plaza Fax: (714) 647.6954 <br />P.O. Box 1983 <br />Santa Ana, CA 92709 <br />August 21, 2018 <br />YES 4 r n_..;;:i: $500 <br />Revised 81251:V5 <br />Exhibit 2 <br />