Laserfiche WebLink
Community Partnership sk CenterPoint. <br />Grant Application Energy <br />Aoolicant ci <br />City Hall address <br />ZIP code <br />Requestor name <br />Title <br />Phone <br />Fax <br />Email address <br />What equipment or special project are you asking us to help fund? <br />Equipment/special project description (brief) <br />Total equipmenyspecial project cost $ <br />Amount of funding request $ <br />How will your request benefit the community? <br />(Maximum is $2,500. Funding request cannot exceed 50 percent of total equipmerVproject cost) <br />If awarded, could a check be presented at a city <br />council meeting? ❑ Yes ❑ No <br />Signature (required) <br />Administrator, manager or clerk (print name) <br />Signature <br />Title <br />Data <br />Mail or fax application to: Questions? <br />CenterPoint Energy Contact: Jean Krause <br />Attn: Jean Krause 612-321-4609 <br />P.O. Box 59038 Jean.Krause@CenterPointEnergy.com <br />Minneapolis, MN 55459-0038 <br />Fax: 612-321-4812 <br />CNP 1304 (42017) Page 2 of 2 <br />16 <br />