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<br />11/14/03 FRI 14:16 FAX 612 784 0082 <br /> <br />CIRCLE PINES-LEI PD <br /> <br />+++ CV CITY RALL iii 004 <br />rev, 8-98 <br /> <br />GJ!NElU.L PVBPOSEI (ci7t:l1i OM) <br /> <br />SPRING LAKE P.ARKLIONS CLD"'B <br />PO Box 829515 <br />spring Lake Park, MN 56482 <br />(612) 794-5731 <br />Tho folIowh1g is B lawful Tequest for :fJD.moJal assis1Buce frO%Il1he Spdng Lake Pane Uom Club tIIldex the guidelines set cl.o'Ml by !:he' <br />charitable C'TambBl3g Control Boe:rd af the StaW ofMim1esotil.. . <br /> <br />~lmg~U1'~ t~fake.<; .eJJ . p",,:,"b'i'.\7~~ <br />Addrw 2ao ~I \I'~~ atJlStateIZip Cltl'f~~~ <br />· IfYOD aru~501C3 orlaDizatiom. aftac& a copy ofDetemdztatioD Letter, , $5f1J1t <br />. ".. .. <br />. ;' . " ~ .' .' ,.... .. <br />NeiIM.ofPors^nSubmitti:c.l"D.-n"JAt .. '!...:~\.\"" . .' 'at. ..~1 ".-~'.,'''~J' <br />_w T .. ..~.... -- . '~'.:'- '...~ '. . "; 'Ci;iS' ,_.:.......... _ rlll\1!lf....'- .. . <br />..:1...:1_ I' . ~ '.' . .Jo.&...NI7..... . r ,."----;-- -,.- '._ <br />Auuzess '.._ _ _._ .;_........_ J'.J 'fi;la.........,y '..,.., <br />. . ..-_....:......~-~.~. <br /> <br /> <br />~;~~~ <br /> <br /> <br />Reque,t N <br /> <br />Date I I <br />--- <br /> <br />l...a <br />. <br />· Is BppYClVal needed from 8.1101:b.ea: govemi:D.g 'body~ (School B ' City Council, etc) <br />F;om. Whom? (name &.position) _ <br /> <br /> <br />Health Servioes <br />Pexk & Recm:liOtt <br />Youth ctLvities <br /> <br />· 'WI1.at ~s YOUJ' total a.m.OlJi:rt ofaeed'.....,;......._.a.......................__...........,1,....._.......;......._..$ <br /> <br />· How much ~i.VB Y011raised ~ dato1 ....,.......,...............-....,......._..._..................................$. <br /> <br />'. <br /> <br /> <br />Date Needed: lJJ.1SJ2!2!J! <br /> <br />z~ <br /> <br /> <br />hrvostigath1g POZSOD <br />Committee Fmditlgs <br /> <br />PhO:ElC <br /> <br />Committco R..ocommc.ndation <br />M~ ofth-o members of the Spring Lake Park lions aub <br /> <br />Dato I I <br />.0 ------__ <br /> <br />bA'l'E Paid: <br />Sia~ature: <br /> <br />Chl!ck # <br /> <br />Delivered Bv: <br /> <br />Date: <br />