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City Manager's Office — M-31 <br />City of Santa Ana 20 Civic Center Plaza <br />P.O. Box 1988 <br />Donation Request Santa Ana, CA 92702 <br />(714) 647.5200 <br />INamI <br />Kevin Cabrera itle: Exec. Director <br />lAddress: 3101 W Harvard St _ <br />Baty, state, zip: <br />IsantaAna, Ca. 92704 _ Fhonl e: 1714-733-0709 <br />—� <br />1Email: <br />kcabrera@heritagemuseumoc.org Fa—x: <br />MMiationAnforritatl a <br />Name: Heritage Museum of Orange County <br />mpt Status: Is your organization a non-profit or public tax-exempt organization as elect-OOne <br />CC�e? Yes —�f7o <br />3ef Section 66�(cj�3 o e nternal Revenue <br />u will only qualify for a credit for City -related costs for your request (i.e. permit fees, f Yes s, <br />rtafftime,rental rates for facilities or equipment, etc.).Costs for City servicesvary andA <br />' <br />, credit may or may not cover full cost of requested City services. 195-3665050 <br />INNam• / __ <br />�4mCity Services _ es Credit I Dated Needed. <br />ount Requested: i <br />October 6 ayorlCouncilmember: Tinajero <br />I <br />Direct Payment Amount $50�- O ;Eventry Data: <br />October 27 Event Time: I4 �jm — Fi iii <br />iRequested I <br />i <br />vent Location: <br />Heritage Museum of OC <br />[Addmss,City, State, Zip <br />3101 W Harvard St, Santa Ana, CA. 92704 <br />Description of <br />arskull class showing youth how to make and decorate sugar skulls as part <br />ia de Los Muertos, and Halloween Spooktacular on the museum property. <br />rof <br />Event I Purpose: <br />These event will be free to the community and we will be inviting SAUSD schools I <br />Fommunity Benefit: <br />to participate. <br />Appi lit, ant signature ; �— I Dat f( $ <br />=Plated / <br />Mail: City Manager's Off ice—M-31 IEmai� donationrequest@santa-ana.org <br />20 Civic Center Plaza Fax: (714) 647-6954 <br />P.O. Box 1988 <br />I <br />Santa Ana, CA 92702 <br />Donation Request#: <br />Reference a on eU related DPW <br />DR- I Councll Meeting Date: <br />SEPTEMBER 5, 2017 <br />Eligibility Met <br />YES f NO YES Approved Amount <br />$500 <br />Cky Manager Signature: <br />Data: <br />Revised 01/05/201 <br />29X— <br />