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<br />y 20 Civic Confer Plata
<br />Donation Request P.o. Boxfoeg
<br />Sante Ana, CA 92702
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<br />LtY'!V (714) 047.0200
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<br />Fame: Ruby Gonzales -Woo
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<br />President
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<br />2234 N. Pacific Ave
<br />city, stat-, zip: Santa Ana, CA 92706 Kona: 714835-8825
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<br />I wooruby@yahoo.com Fax: none
<br />•.
<br />Name; Artesia Pilar Neighborhood Association (APNA)/Charitable Ventures of Orange County
<br />Tax -Exempt Status: is your organization a non-pmffterpubOcte*exempt olgenfzallon as
<br />defined under Section 501(c)(3) of the Internal Revenue Code?
<br />elect One•
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<br />-Yes 1:1 No
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<br />Dec.10, 2018
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<br />City services Credit I Date Needed: pec. 1 O, 2018 t
<br />Requested:
<br />Mayddcouncirmember, Please Choose From the Ust Below
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<br />DlmctPayment Amount $500vent Data:
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<br />Eventttme:
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<br />Dec.10, 2018
<br />12:00 noon
<br />Event Location:
<br />Fydia Romero Cruz, 2701 W. 5th Street, Santa Ana, CA 92703
<br />Address.City, Stars9p
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<br />Community involvement 300-000 youth and resident- that works with them to build strong healthy
<br />community BBenefit-ocommunities
<br />and help families thrive.
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<br />(Mall: City Manager's Ofnce—M-31 Email: donetionrequest@santa-anaorg
<br />20 Civic Cantor Plata Fax (714) 647.0904
<br />P.O. Box 1999
<br />Santa Ana, CA 92792
<br />Revised 11/16120111
<br />29A-24
<br />Donation Requests
<br />DR -
<br />Council Meeting Date: 12/18/19
<br />Reference a on an relaradDPVa
<br />Eligibility Met:
<br />YES I No Yes Approved Amount: $500
<br />City Manager Signature:
<br />Data:
<br />Revised 11/16120111
<br />29A-24
<br />
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