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.i:%err City of Santa Ana City Manager's Office -M-31 <br />"WF y <br />20 Civic Center Plaza <br />I I Donation Request P.O. Box 1988 <br />5.' — ;' Santa Ana, CA 92702 <br />__ (714) 647-5200 <br />Contadi'lliliformailon <br />Name: Karen Sara la itle: [Executive b-Irector <br />— <br />Pddre�- <br />837 N Ross <br />1Clty, s te,zip: <br />Santa Ana, Ca 92701 <br />phone: <br />(949) 205 3954 <br />Email: <br />karen@elcentroculturaldemexico.org <br />Fax: <br />F <br />... <br />Name: <br />Centro Cultural de Mexico an el Condado de Orange <br />Tax -Exempt Status: Is your organization anon-pmfil or public lax -exempt organization as ISeleecct One: ❑ <br />defined under Section 501(c)(3) of the Internal Revenue Code? Yes No <br />If No, you will onty quality for a credit for City -related costs for yourrequest (i.e. permit lees,I <br />Yes, IT <br />staff time, rental retes for lecili0'es or equipment, etc.).Costs for City services vary and if <br />�3-06114169 <br />approved, credit may or may not cover full cost of requested City services. ex ID tt: <br />If <br />Donaffign -Request <br />CityCity Services $-500--- <br />Amount Requested: <br />DateDate Needed: <br />09/29/2018 <br />ayor/Coul ncilmembm <br />Sarmiento <br />Direct Payment Amount 50O Lent pa e 09/29/2018 <br />Requested: $ I IEvent Time. 200 pm-9:OOPM <br />St. Samna, Ca 92701 <br />veLocation-: 7R� <br />[AddliL <br />City, Stare, Zip <br />We—are—writing to Invite you to jolnus in celebrating the Gr�Re-Opening of EI— <br />Description of Centro Cultural de Mexico on September 29, 2018 from 2:00pm to 9:00pm at <br />Event/ Purpose: 837 N. Ross, Santa Ana, California. You hold a very special place in the history <br />of our organization and you nlav an imnortant role in the community hased <br />Willard-N&I o-hb or'If god welcomes e -Centro Cultural deWex-Ico to IN s newhome. <br />Community Benefit: This will be a free community event to invite the community to know el Centro <br />and visit our new home. Hosting music and dance performances by community <br />.i•..1,/ Inn.,/ ...�.......n-.n1;....n ....Mnnln nn.! n •�.. ...n, in <br />Appllcant Signature:,�� S'--'�•ti e — O9/O6/2018 <br />IDatr <br />Mail: City Manager's Office- M-31 <br />Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza <br />Fax: (714) 647.6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Donation Request t!: <br />DR - <br />Reference It on all relateds <br />Council Meeting Date: <br />October 16, 2018 <br />Eligibility Met:EY S / NO Approved Amount: <br />yes $500 <br />City Manager Signature: Dale: <br />111 <br />Revised 01/0512017 <br />29A-12 <br />