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M- <br />Cify of Santa Ana City Mat Civic Cer'stnter ce Plaza <br />P.O. Box 1988 <br />Donation RequestRequestSanta Ana, CA 92702 <br />iD <br />(714) 647.5200 <br />Nemo: !Heritage Museum of Orange County <br />TaxExsmpt Status: Is your nrganizakion a nan-profit or puplic iax-exempt organization as �Selecl One; <br />a' under Section 601 (c)(3) of the Internal Revenue Coda, <br />Yes No <br />If Nq, you will gnly qualify fora crodit for Cltyrelated costs for your request (i.e. permit fess, ilf Yss, (� G <br />tale finis, rental rates far facilities orequlpment,eto:).Cost, <br />for Cfty se1 <br />l1 <br />1 <br />6 vary and if I(95 3665050 <br />approved, credlt may or may not cover full cost of requested City services. Tax ID tF: <br />Address, City, State, Zip 13101 W Harvard St, Santa Ana, CA. 92704 <br />Iption ofSugar skull class showing youth how to make and decorate sugar skulls as part <br />I Purpose: i of Dia de Los Muertos, and Ghosts of OC Trick or Treat on the museum property. <br />These event will be free to the community and we will be inviting SAUSD schools <br />community Benefit: <br />to participate. <br />Gity Sorvicas Credit <br />mount Requests( <br />i._.....,_.._. <br />Date Needed: <br />-._....r.__._.`.._.__ <br />October <br />Mayor/Councilmember: <br />`I <br />71naJaro <br />�_ero <br />Paymont Amount <br />_ ..___...,..__. �.._...._.._.._._._. <br />E <br />500 vent Data; <br />�,._._._.__. _.__.. _.._.,.._ <br />October 26 <br />�_...,...____.....___.__.._.._. <br />Event me: <br />one: <br />Ti <br />p _.. __._.... p <br />3 m 4 9 m <br />Ragnested.._..__..._._..___ <br />_... .._.. <br />,..., t <br />_ ,.__.....� . _ .. _._• _ .___,w.v. _..�.__ __..... ...... <br />Donation Request #: Dig - <br />Councll Mooting Date; <br />___,. <br />Vent Location: .j <br />Heritage Museum ofQC_.._. <br />Eligibility Met: YES I No Approved Amount: <br />1 <br />City Manager 3lgnatuio: <br />Address, City, State, Zip 13101 W Harvard St, Santa Ana, CA. 92704 <br />Iption ofSugar skull class showing youth how to make and decorate sugar skulls as part <br />I Purpose: i of Dia de Los Muertos, and Ghosts of OC Trick or Treat on the museum property. <br />These event will be free to the community and we will be inviting SAUSD schools <br />community Benefit: <br />to participate. <br />Applicant Signature. (((\ Date <br />-------------- <br />®ley 1� <br />•. <br />Mail: Clty Manager's Offlce—M-89��-_____._,_...._.....___..,.,...,._..._„...__._._.I,-Email: donatlonrequestQsanta-ana.org <br />20 Civic Center Plaza IFax: (714) 647.6964 <br />P,O. Box 1988 <br />Santa Ana, CA 92792 <br />_... .._.. <br />,..., t <br />_ ,.__.....� . _ .. _._• _ .___,w.v. _..�.__ __..... ...... <br />Donation Request #: Dig - <br />Councll Mooting Date; <br />___,. <br />Vflrf.0 ✓( 1 "viC�Y 4 `t L' <br />Eligibility Met: YES I No Approved Amount: <br />1 <br />City Manager 3lgnatuio: <br />Revised 01/05/2017 <br />EXHIBIT3 <br />