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City of Santa Ana <br />Donation <br />'Name: !Patricia Wenskunas <br />ddress: 11301 N Tustin Ave.-.„__....,�1_... <br />IcIty, state, zip: I Santa Ana, CA 92705 <br />mm r..:.,. <br />Email:-'patricla@crimesurvivors.org <br />City Manager's Ofrice — M-31 <br />20 Civic Center plaza <br />P.O. Box 1988 <br />Santa Ane, CA 82702 <br />(714) 647-5200 <br />CEO <br />245-4798 <br />City services Credit <br />! I <br />!Date Needed: 12018 <br />amount Requested: <br />Direct Payment Amount! <br />Requested” <br />t Date: 01 <br />500 tEvent®ate: 77!33 <br />Evonk t.oca4lon' m� <br />..IS <br />linn78 SUIVIVQts plesOufCB CEnt€3r ^ rere4O <br />Address, city state, zip <br />{t <br />1301 N Tustin Ave. Santa Ana, CA 92705 <br />China Survivors writ use these dimotfunds requested In parnershll <br />Description of <br />the city cleanse Ana Ourprogramshavee broad reach lnduaing: <br />violent gime; including families of murder and sandYms of attempt, <br />Event 1 Purpose: <br />Sohl.m aervlces are avallable to all victims of were, we estimate <br />i larking in resources following a vlolent crime_ Come Survivors will <br />lFuNeq.ile ... r,ss SBnk Am-baeea Cl &N-.%,Je Pmvntl, Rrme <br />Community Benefit <br />vubttlf$ t, ealrg a NbP at( IAB ed9 d <br />lm�qlmtsllemHal9E 1s. v1di'-doWdE lWm is CA <br />!earl ee ppdaM sat -p g mBupp di anepleBe.' <br />}se. rm m av�a este Praaae a�meHBum.Brvm•s meteor ee•eeeroie�e B'vreu <br />Mail: City Manager's Office m Ill <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />lCounciimember: - &0X,0Zi D <br />Time: 12018 <br />vldedwarertees p[avenlion ativocacy and healing services to all residence In <br />hnic backgrounds faiths, as well as direct program support for famdlas of <br />will assault domestic violence Cold abuse, and elder douse. Although Crime <br />iars served by Cnme Survivors are low income These vlotima are pban deeply <br />hese programs, sm oss and traming3 that are not acvered by the state. <br />Email: donationrequest@Santa-ana.org <br />Fax: (714) 847-6954 <br />Donation Request ga j DR - <br />t'e sten=era Y on att r taaa5s;.t+J - I C9#dnsli MaeC!¢sg Date I FEBRUARY 6 2018 <br />Eligibility Met: YES I No YES 1 Approved Amount: $500 <br />City Manager 319"Ature pate i <br />Revised 01)05/2017 <br />EXHIBIT 1 <br />29A-3 <br />