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City of Santa Ana <br />Donation Request <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 />E Kevin Cabrera �Itle: Exec. Director <br />ass: 3101 W Harvard St -- - <br />_— - <br />- <br />State, zip: Santa Ana, Ca. 92704 Phone: 714-733-0709 <br />is kcabrera@heritagemuseumoc.org <br />IHeritage Museum of Orange County <br />_.__. _ .__ ___._ _ ......_.._ <br />xempt Status: is your organization anon-proFlt or pubilc_.tax exempt_.__ organlzatl_._on as elect One: <br />J under Section 501(c)(3) of the Internal Revenue Code? ✓Yes No <br />you will only <br />rates fo�ao' a cr credit <br />for entalated costs etc.), Costs for <br />yoor ur services' vary ar iitnd fees, IIf Yes, _.'--'- ❑ ��•���❑ <br />,ed, credit may or may not cover full cost of requested City services. Tax ID#: 195-3665050 <br />Services Credit <br />,unt Requested: <br />1 <br />Date Needed: <br />October 6 <br />Ma or/Councilmember. Pulido <br />y <br />ct Payment Amount <br />_ <br />500 <br />__..........._...w._ <br />Event Date: <br />��- <br />OCtOber 27 <br />Event Time: <br />4. pm- 8 pm <br />uested: <br />nt Location: <br />He Museum of OC <br />ass, City, Stare, Zip <br />3101 W Harvard St, Santa <br />Ana, CA. 92704 <br />Description of Sugar skull class showing youth how to make and decorate sugar skulls as part <br />Event/ Purpose: of Dia de Los Muertos, and Halloween Spooktacular on the museum property. <br />Community Benefit: These event will be free to the community and we will be inviting SAUSD schools <br />Ito participate. <br />iApplicant signature: j > Date:.: $ 2t 1 <br />Mail: City Manager's Office—M-31 ___._.__. Emali: datationrequest@santa-ana.org I <br />20 Civic Center Plaza�� Fax: (714) 647-6954 <br />P.O. Box 1988 �.__..........._.�.____.____..__..._�______._�______.__..�,..__....__„.„_„,___.®._.,_� <br />Santa Ana, CA 92702 <br />Donation Request 0: DR ....... .__ _.._ <br />RUfarenre i -on att relate<t YtPUs <br />council Meeting Date ER 5, 2017 <br />Eligibility Mat: YESINO YES Approved Amount: i $500 <br />City Manager Signature �. .._..I Date:_. -- <br />Revised 01/05/2017 <br />EXHIBIT 1 <br />