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a City of Santa Ana <br />— • : Donation Request <br />n:nn}�rt� rnGwmaf inn. - <br />City Manager's Office- M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647-5200 <br />INam�— Kevin Cabrera itte: Exec. Director <br />ddresa: <br />3101 W Harvard St <br />pity, State, Zip: <br />Santa Ana, Ca. 92704 Phone: 714-733-0709 <br />SEPTEMBER 5, 2017 <br />kcabrera@heritagemuseumoc.org Fax:—__^ <br />Name: Heritage Museum of Orange County _ I <br />Tax -Exempt Status: Is your organization a non -prom or puouc tax-exempt urgamzauuge.,_.—Select .One:—Ye"s <br />I— -. No - <br />lefined under Section 501(c)(3) of the Internal Revenue Code? I ✓ `--- — - <br />If No, you will only qualify for a credit for City -related costs for your request (i.e. permit fees, F Yes, <br />staff time,rental rates for facilities or equipment, etc.). Costs for Cityservices vary and if i Tax ID 195-3665050 <br />approved, credit may or may not cover full cost of requested City services. <br />Services Credit II <br />unt Requested: r <br />,t Payment Amount O <br />Needed: <br />Date: IOctober 27 (Event Time: 14 pm - 8 pm <br />Location: I Heritage Museum of OC <br />s, City, State, Zip 13101 W Harvard St, Santa Ana, CA. 92704 <br />ption of Sugar skull class showing youth how to make and decorate sugar skulls as part <br />I <br />IPurpose: of Dia de Los Muertos, and Halloween Spooktacular on the museum property. <br />(These event will be free to the community and we will be inviting SAUSD schools I <br />Community Benefit <br />to participate <br />A iic nt Sl nature r t >` ` ' ' <br />PP 9 <x t t ���ya <br />�...v....r+ <br />0 1 / 1 <br />Mail: City Manager's Office -M-31 Email: donationrequest@santa-ana.org <br />20 Civic Center Plaza I Fax: (714) 647-6954 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Revised 01/05/2017 <br />,,{{ <br />Donation Request#: I <br />DR- <br />i Council Meeting Date: <br />SEPTEMBER 5, 2017 <br />Refarence * on all related DPVs <br />Y <br />Eligibility et: <br />YES I NO YES <br />I Approved Amount: <br />$500 <br />City Manager Signature: <br />ate: <br />Revised 01/05/2017 <br />