Laserfiche WebLink
A:cua:a <br />atacrus,rnnsmus�nnntashrmaoosmeheency - <br />ew>ersscoaxnmemeaucnrmencufccoorerntecvuls) - <br />flSOptlLdkBdmffa4 nm <br />S�apG efxl4. I�nI <br />11�Bi0(9-/WO . <br />F¢nifl Ur.VO �. <br />HOMELESS EMERGENCY AID PROGRAM <br />REQUEST FOR FUNDS FORM <br />Contract Number 1841EAP-00007 <br />Im ke Number 1841P -AP -00007 Expiration Data: 1013112021 <br />Grantee Namr. The City of Santa Ana ('nntaetPerscn: Hafsa Kaka <br />Address: _ 20Civic Center Plaza, M-13 Contact Peffon Tion. _Homeless 4rWres Manager _ <br />CRY: Santa Ana E -mall: Hkakap�santa-anaore <br />6tate&Zip: CA 92701 Phone No.: 14 6404245 <br />HOMELESS EMERGENCY AID EXPENDITURES BREAKDOWN <br />BUDGET BREAKDOWN <br />Proposed Activitim Approved Budget <br />Services <br />$0.08 <br />50.00 <br />Rental Assistance or Subsidies <br />$0.00 <br />80.00 <br />Capital Improvements <br />53,321,797.26 <br />$3,321,797.26 <br />Homeless Youth Set -Aside <br />5184,544.29 <br />5184,544.79 <br />Administrative Costs <br />5184,54439IF <br />5194,544.29 <br />Other. <br />50.00 <br />SO.00 ' <br />Other. <br />50.00 <br />S0.00 <br />TOTAL: <br />53,690,885.84 <br />CERTMCATION <br />AtffF PSevafarm,rcemmrolhedea vfayinoaiedge muddeaefrhar Orforn urrve, compX/e,m,dactvuX, mrd rhe on(vinuanQtrffigerarefur rLeryrrynesuN uhleaircs.sa/nM rn the lermx m,drnrrJlouru of <br />OX lclonsorwhe dg,eemenr. l,mr wun r/mram/ahe• finmaua, mfiuudv/rn+mhrmanvn, adX gmuaan aJarryrnaerwlj sv, mrymdJesiau m rriwnal, owl oradmrN4rmrlw permhtes jaJmud ja6earoremenn. <br />fahrckmaaraherww. <br />Robert CorRz Deputy City Manager <br />',NameofAothonced Persou - - - Date - <br />SlgoataraofAuthorived Person Date <br />' BCSK USE ONLY <br />Grant ManagemenPRepresentath-e Signature - - Date;; ' <br />20A-23 <br />