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n f, <br />City of � Santa <br />Name: (Chris Schmidt <br />;Address: 11117 S. Arapaho Dr. <br />State, zip: Santa Ana, CA. 92704 <br />Email: chris714oc @gmail.com <br />Narrw Charitable Ventures of orange County Inc. <br />is your organization a non -profit or pun io tax- exempt organization as <br />501(c)(3) of the Internal Revenue Code? <br />If No, you will only qualify for a credit for City- related casts for yourmquest (i.e, permit fees, <br />iteff time, rental rates for facilities or equipment, etc,), Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. <br />City Manager's Office —W-31 <br />20 Civic Center Plaza <br />P.o, Box 1888 <br />Santa Ana, CA 82702 <br />(714) 647-5200 <br />President <br />'iPhone; _ -'714- 724 -5466 <br />iFax: <br />Select One: { <br />Yes ® No <br />it <br />lax o #, 120- 8756660 <br />City Services redit t i <br />{(tmaunt Requested: quested: rp ;Dam Needed: ! ;MayortCOUncllmemUmr, <br />'DiirreecttPaayymentAmount 500.00 Eventuate: 'May 13, 2017 Event Time: <br />— <br />lEvent Location: Windsor Village neighborhood and Jackson Elementary School <br />'Address, cry srara, zp 1 1143 S Nakoma Dr, Santa Ana, CA 92704 <br />Of <br />Benefit: <br />Signature: <br />Tinajero <br />Orange County Fire Authority will be holding a free fire alarm installation event to install fire alarms in <br />the 500+ house in our neighborhood. OCFA partners with Red Cross and other groups who volunteer <br />to participate in the event. We are requesting a donation to provide food to the volunteers. <br />Almost two - thirds of all home fire deaths occur in homes with no working smoke alarm. By providing and <br />installing free fire alarms, we will help reduce the amount of deaths in homes. <br />Mail: City Manager's Office —W31 <br />20 Civic Center Plaza <br />P.O, Box 1988 <br />Santa Ana, CA 92702 <br />March 31, 2017 <br />X, I i�� ,.: y u.. s t.... <br />Email: donationrequest@santa na.org <br />Fax: (714)647 -6984 <br />Donation Request o: - OR, . <br />council Mee4ng Date: <br />Ellgibliity Met: YES 1 NO Approved Amount: <br />City Manager Signature: -. bate: <br />EXHIBIT 1 <br />Revised 01/0512017 <br />r•- <br />