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�k�x City Manager's Office - M-31 <br />City ®f+�c` ata Ana 20 Civic Center Plaza <br />Donation Request N-2018-222-02 P.O, Box 1989 <br />Sarna Ana, CA 92702 <br />�1a �'�J <br />--° (714) 647.5200 <br />Name: <br />ddress 837 N Ross <br />fly, State, zip: I Santa -Ana, Ca 92749 bone: <br />Email: karen@elcentraculturaldemexico.org Fax; <br />Name: Centro Cultural de Mexico en el Condado de Orange <br />Tax.Exem t Status: Is our organization -_..._._.-�___. <br />p y _ g anon-proflk or public tax-exempt organization as elect One: <br />defined under Section 501(c)(3) of the Internal Revenue Code? ®Yes I No <br />If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, raxel'D <br />, LLLL����IIII <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and If33-0614169 mm <br />approved, credit may or may not cover full cost of requested City services. #: <br />! a a c+ <br />City Services Credit �SQQ ��Ipate Needed: 11/03/2018 Mayor/Council member: Senavides <br />ount Requested__ <br />l I (`"` -".._ <br />Direct Payment Amount _600 5QQ vent Data: 1I 11 /03/2018 vent Timo;v---- 1)00 t3My_^{ m - <br />Requested: <br />/2018 <br />Event Location: 14th Street and <br />Addrass, COY, shite, Zfp Santa Ana,Ca 92701 <br />-- – — Since OM,lCntfo C <br />EEeuiiural de Mexico has been organizing Nt5_Che�e Aftsres, <br />Description of jor a Night of Altars, a community based Dia de los Muertos celebration, where <br />Event Purpose: families, students, community organization and businesses come together to <br />ror one nlgnt, Tamales, stuaents, community organizations, activists, artists, ana <br />Benefit, businesses are invited to build an altar in memory of a deceased loved one or to <br />bring awareness to a social issue. By making altars, participants are inviting <br />f..11.....---4— ­lk— :—. — 4M.r,..w.. I:f— -4 ......n:. f— n I.., —A r. r.... (1.•.. <br />AucantSignature; Date: E09/15/20118 <br />I <br />R ® A A <br />Mail: City Manager's Office -M-31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 547.6954 <br />P.O. Box 2966 i <br />Santa Ana, CA 92702 <br />Donation Request #: I DR - <br />R2Verf1ece 4 ol, all related 0r 1/s { <br />Eligibility Met: YES 1 NO <br />City Manager Signature: <br />I Council Meeting Date: <br />Approved Amount: i <br />, <br />Revised 0110512017 <br />