89-825 WHITE - CITV CLERK COURCII
PINK - FINANCE GITY OF S INT PAITL ��a?�
CANARV - OEPARTMENT
BLUE - MAVOR . F11C NO.
o nci esolution ;f�"�,�
,�__
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #5 295) for renewal of a Class C
Gambling License by ua Diego Club of Our Lady of Guadalupe
Church at 408 Main S re t, be and the same is hereby approved/
-�e�i-e�d.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� [n Favo
Goswitz
�� '� A ainst BY
scne�ne� g
Sonnen
—�i''�F9ea
Form Approved by City Attorney
Adopted by Council: Date
Certified Passe ou cil Secret �� By
B} i \
A►pprove b �Navoc Date �QY 1 c. �� Approved by Mayor for Submission to Council
J�� g
By �UBI.I3�ED MAY 2 01 89 Y
[. . i . . ... . .. .. . -, _ ..
. . _'.. . . . _ ... ���_ . ..
Qlr91NATOR . � , � DAT!wtu�t� �01l,k![� _ _ �/�' ���
J. Carc�di
�. ���� ��ir�ir/ 1�. O 0���� .
� ��,�.:� �,����►
Christ�ne Rozek � ����� �«n«� .
� . aounMCa ��«� 2 Counci l Research
F, , - ,. : _ _ — .
�nan.. ._.::. , ,- 2 - 6 -°'+�_ 1. ��,�� , , -.�. � `_ `
Approval -of an application for ne al of a-G��ss C� Gamhli�g ticense. .
Notificatia� Date: 4-17-89 Hearing Date: 5-11-89
{APP►ove(k)a Mi�a(f�i ` COUIICII. . 11lPORTs ,- � ,_ _,
�� � RAWNiQ COMMB�ON -. . �GNILf6iVICE COIiM118310N OYITE W -` � DATE OlR . . . ANALYST � . . . .RiOfE.MO. . �� . .� . . .
- . . DOlNlKi COIAINB@ION .. � � 19D a26-BCIqOL 80ARD � � � � � ' � � � � �
. � . . STAFF � .. . , . �. - pUWTER COAiMIE6i0N � . , - . AS - AD[i'l IIFO'ADOEOt _'W�R IIODi M�iO.��{�' . �� . .
e
� � ' D�BTRK,T COUNCN. -. . . -. - . *�� . . . � . . . . .. . . .
. . . 9tIPi0Af8.N�11CF1�COUNCIL O�JF�TNE9�� .. � . � . � . � � . -� . . . � � . - . � � ...
. N1lAtN0 PRO�tirr�t�iIM0111Ytff�(��0.Whel.V1fl19n.VVMIMe.NR�: "
Fl orence Cor+coran, bn behal f o J an Di e� Cl ub of t)ur Lady of Guadal upe _
Chu.rcii, .requests approval of h r pp'l i ca�ion for rer�wal a� .� �
_.
. C1 ass�..C.6amb1�ng Li cense at 4 in Stree�. Ga�l.i ng ses�ions are hel d. .
on tuesday afternoons between he hours' �'�;,1:30 PM and 5.3t� PM.` Gambl�ng �
procee�s are used for the chil re of thc` {�rish of: Qur L�dy of�G�ad�tlap$
. � r . . . :
; , .�. . _
�;
: �uss�c+►,�o�r���ow�e�.+�o...�: . . . . .
:,.
�1:1�_fees and applications. ha b n subt�ritted. `
� If Council approval is given, th Juan i}i.ego Clu� wi11 contii�ue to operate
a binga.ses.sion at 408 Main S re t.
. ' . .�OIM�IMR+w.1INir+.�na:7o'Ml�oml: • � , .- : •,_ : . ,
Ifk'�MIA111Yli: .. C0116 ;
lMtOttY/�I�ENTS:
�' ��: -� , : ener
. _ , .
. . _ , 11!'R � 0 iS$9� - :
r
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�!�Y OF�_.P1RM/OROAIwiJ►170N�IIiGPA1.S: ' . �, . �
S1J1KEli0LDiR8(L.i�) PO�fflON(+.—.O) -� �—MrY.1.TEBIIFY?.(YJ!i9_ 'r': : RI►71011AtE(8um�rl�e YsY�Aep�xnsnls)
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FlMANC{AL IMPIRCT _ �*�cs�o.b► ar�o r�w �s:
o�u►nrro suoser:
n�w�s a�FU►�� _
�xr��s: ,
Selaries/Fringe BenefiGa............................................::.
EQ��M..............................................................................
��....... ........................................ .....,... .....
ConVacts for Servbe............................ _ ; , - _ . _ .. .:_ _
Other
PROFIT(L068) ..................................................•••........................... .
PUWDING SOURCE FOR AMY LOSB(t+�rt�e and Arr�unt) �
CAPffALINPROYEMENT BUOGET: --
DESIGN COSTS _
ACQWS(TION C�TS _ _ , _ .- . :
CONSTRUCTION COSTS ........................:...............................:...._. _:. ,
_ TQTAL......................................................................:.............................�
SOURCE OF fUNDING(Name and MiourM) . ,
MMACT ON BklDGET:
AMOUM CUBRENTLY BUDOE7ED.....:............................:........... _ _. __
AMOUNT IN EXCESS�Ct�WENT Bl1D8ET _ . , _
SOURCE OF AMOUNT OVER BIJD�iET.....................:..................
PROPEii'TY TAXfS GENERATED (LOS'T1 .........
IA�LEMENTATION RESPON�ITY:
DEPTJOFFICE . ��ON1810N � ..FllND TfTLE .
� BWQET ACTIVRY NIMABER&TITLE . . . .._. .. . l�TIViTY MANAGER � - .. . � . .,..
HCW PERFORMANCE M9t.L BE 1AEASUREDt:
�RAM OBJEC7IVES: PRO(iRAM N�ICATORB 18T YR. 2i�10 Yii.
EVALUATION Rf8PON8181UTY:
PER60� � DEPi. PaONE NO: REPORT 710 COWYCIL OF DATE
f�tST Q(/AR7FRLY
. . _ . _. y
, , ������
.� 3 ��( i .� �
DiVISION OF LICENSE AND PERMIT ADMINI T TION llATE ��� ��
INTERPF.PARTMEI�TAL REVIEW CHECKLIST A.ppn roc ssed/Recei ed by
Lic Enf Aud
Applicant f' IorenCP� �.�fCp�l.�, Home Address /�C15 �(2�.,�' _
Rusines5 Name � C r Home Phone
Business Address Qg /���v� � Type of Lic.ense(s) �Q /7.Q.�,�
�
Business Phone � 11 O� l. �G S C �um b�r �� �.! C.P�S �
Public Hearing Date � License I.D. 4F
at 9:OQ a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 46 IU �'
llate l�utice Sent; �� Dealer �f ��
to Applicant 11 ��
rederal P'3.rearms �� �l�"I
Public He�.iring
DATE INS EC' IUN
REVIEW VERFIED ( 0 UTER) COMMENTS
A proved ot A roved
�
Bldg I & D �
�f�
Health Divn. '
��� �
i
Fire Dept. i �
; ��� f
�
� f
Yolice Dept. I
3 ��
I t� �
�License Divn. '
�� ��
v ' Q�
City Attorney �
���� �y, ��
Date Received:
Site Plan 3 �j �
To Council RPSearch � � �
Lease or Letter � z � Dat
from Landlord �J
. . : ���'o ` ��/'
� , �
Charitable Gambling Control Board �g���p�,y
� Rm N-475 Griggs-Midway Bldg. ��:
1821 University Ave.
' St./P�acu,�l, M/�NC5C5104-3383 �NO. -
{• •1 • (6�L,V`�21/5JJ - �. '
� GAMBLINCa LICE E ENEWAL APPLICATION
UCENSE NUMBER: �-��46A-��2 /EFF. DAT 1� il 9� /AMOUNT OF FEE: ;51.1/
1.Applicant-Legal Name of Organizatlon 2.Street Address �,`
CHURCN OF 8UR lABY 8F 6�ABALU►E JUAN AIE60 ttY6 1/95 Dlrt�r Street
3.Ciry,State,Zip 4.County 5.Business Phone
St Paul, MM 55112 Ra�aty 612 22t-1111
6. Name of Chief Executive Officer 7.Business Phone
�12 221-15i6 c`
�,
Rev Jero�� Nackenwelle�
S.Name of Treasurer or Person Who Accounts for Revenues 9.Business Phone
Mar aret Koenl 611 ]16-8191
10. Name of Gambling Manager 11. Bond Number 12.Business Phone
florence Corcoran 86,5161 i12 71�-11�9 �
13. Name of Establishment Where Gambling Will Take Place 14.Counry 15.No.of Active Members
North Star 81d St Paul Ra�sey 31
16. Lessor Name
17.Monthly f�ent: ��
North Star Bldq Asso �,�"��H�
18. If Bingo will be conducted with this license, please specity day and imes of Bingo.
pays Times ' Da Times D� Times ._
Tu�SO�y �trFR�s�as /;3o-S,'3oP,H.
19. Has license ever been: ❑ Revoked Date: � Suspended Date: O Denied Date:
20. Have internal controls been submitted previously? �Yes 0 No(If 9Jo,"attach copy) , �,
21. Has current lease been filed with the board? � ❑ Yes �No(If"No,"attach eopy) ..
22. Haa current sketch been filed with the board? ' �Yes �❑ No.(If'No;attac�i coPY)._ s,- : _ e. . :�.:._ - ., • ' ^. =�
._ - - _ : .- . � ��
GAMBU G S E AUTHORIZATION �.
By my signaWre bebw,iocal Iaw enforcement officers or agents o the ard are hereby authorized to enter upon the site,at any Ume 9a►nb�in9�,,
b eing co n duc t e d,t o o b s e rv e t h e g a m b l i n g a n d t o e n f o r c e t h e l a w r a y u n a u thori2ed game or p r actice. '. �
BANK R CO S AUTHORIZATION �,;
By my signature below,the Board is hereby authorized to inspect he b nk records of the General Gambling Bank Account whenever necessary to ,��
fulfill requirements of current gambling rules and Iaw. OATH - �`
� ,;
I hereby declare that: � ��„ �. ��+^„� '��cy.+;-+� j .� �`Y
1. I have read this application and all iniormation submitted to th Bo d;°• � ` �y y „�,xf,��r.���"""""�"� �
2. All information submitted is true,accurate and complete; '�"""
3. All other required information has been fully disclosed; , , .
4. I am the chief executive officer of the organi=ation; �">, `
5. I assume full responsibility for the fair and lawfut operation of II a 'ies to be conducted:
6. I will familiarize myself with the laws of the State of Minnesota res 'ng gambling and rules of the board and agree,it�icensed,to abide by those
laws and rules, including amendments thereto.
23.Official Legal Name of Or anizati� Sign re(C ief ecutive OfBcer) Date Titie � � .
CN�JR�H o.� OuR I�ADy %�ite��.��I�rP �RcS/OENr '` ASToR ,
UAb �,pP� kAN D�E6o C��/�
ACKNOWLED(iEMENT F TICE BY LOCAL GOVERNING BODY '�'
I hereby acknowledge receipt of a copy of this application. By ac no ing receipt,I admit having bee�serv with notk�that this application will
be reviewed by the Charitable Gambling Control Board and if ap rov by the Board,will become effective fram the date of receipt(noted
below),unless a resolution of theixal goveming y is pasaed hi specifically disallows such activ' an dlhat resdutlon is received by::
the Charitable Gambling Control Board withi d of the bel n ed date. -�
24. ity/County Name(Lxa Goveming Body) Township:If site is lacated within a township.p�ase comPlete items 24 "'
and 25:
Signature f P n Receiving Application: � 25.Signature of Person Receiving Apptication
�C���� ��C�'a c� �-
Title � Date Receid (th date begin sy od Tit�e:
� C..�:�� �.e '' /C�
Name of Person Delivering Appli tion to Local Governing Bod Township Name
::z''
CG-00022-01 (5/8� White Copy-Board Canary-Applicant Pink-Local Governing Body�`.
�
. . ���9S
• ity 1 Saint Paul
D�psrtn��nt N Fi s snd Msnsg�nent Se�s ��a�J
Lians a Pern�it �i�ision
City Hsll
S�Paul. fn sota 55102•298�50Sd
APPLIC TI N FOR LICENSE
� CM�EC�K CIASS NO. N Ren�ew
� _�.1.1 �. � �
Dat� ��1�
� `
Cod�No. Titl�ol Liunse F� � � � , t9 ,�� ��t�,�
� ;2 . � J� _ x 5 (�an � a �� �"�
� �i�, � i �. -
�.:n.�r`cn� _; I , (�'
^ t00 �tl� �,�ri il .,: " 11 i.t a�G i , ,;�_ t '!r "►-
d, l — /� v S� �P �aW�eanvCoew.nr N«n. I
100
�;^ '? ..l'�q��, �-�,ti <�'i
100 eusl�ss Nanw
100 � . `�Cl ` . +`'�, }
eusi�sa Aadnss /�pN No.
700
100 MailtoAddnss �1ioiMNa
,00 ;-1���� ��k... � . L_��r� �r�, �
Manaq�HOwnN•Na� �% !f � 7,�,�:,�;
t� , �_ �
1 -� :i ' . � . ..i ���_ .
100 AtanspNKrwr�N•Mem�Add►�ss il�ar Ne.
IplA Applicatfo�FN 2. sp
� � �
livW lM Of 100 � � - ,� , `.�? '� ;_. ��� �l'
•, — � �
:-.� M�JOwn�r•Cfty.Stm s Do CoO�
100 Isl 100
Jl
� /� �
,� (� �� l� '=''�,�.�f r.,r. c�.�' (� C� /.z � C=[''�'� /�i'L
LiCenf�(nspeCtOr � � 8y: Slq�atun of ApplkaM
Company Nam� Policy No. EspMNlo�
Insunncr
CanW^y NanM PoneY Na Npr+1b�OaN .
Minnesots Stste Ide�titicstion No Social Secu�ity No
V�hict�Infornutfon•
SNfal NwnbN �
aner
THI51:S A R C PT FOR APPLiCATION
TNIS IS NOT A LiCENSE TO OPERATE.Your applkatbn tor Ica will eithar be granted or ra�scted subject to the provislo�s of fIN sOnNp
ordinanq and eon+pNtlon of tf+�Msp�ctiOns bY tM FNalth Fire 2oninq andlor�fe�ns�Insp�ttOrf.
. �15.00 CHAR6E R l RETURNED CHECKS
� 3_�3�y� � �, ,��-
. . City of Saint Paul C��'��
Finance and Management er ices%License & Permit Division
INFORMATION REQUIRED WITH APPLICATION FO P RMIT TO CONDUCT CHARITABLE GAMBLIVG Gr1.KE Iv
SAINT PAUL (To be used with the followi g: New A & C application, renew A & C
Licenses, and new and renew B in Private Cl bs.)
1. Full and complete name of organizat on which is applying for license �i.� A N lliC-�o
� t � �- V L/3/� C� � (.�'�! D �,u��_ �H-�(./�L.!-l-
2. Address where games will be held � �' �/N J � �Sr �A�C�4 J SlO:.;Z
N mber Street City Zip
3. Name of manager signing this applic ti n who will conduct, operate and manage
Gambling Games r�.��l��NCC �, ���2 CG'RR�/ Date of Birth ,�- /�l -;;(S
(a) Length of time manager has been me ber of applicant organization �'���/!_=/�iQ 5
4. Address of Manager � y i r .�� :s% ^f ii �i L =' S /C'�>
Number Street City Zip
T /3 y iQ�T�Rn/�c�lS i."�c' -S•':3�` �ri.
/ u �SD
5. Day, dates, and hours this applicat on is for ,,; li �,� :�; 1�/r'`� 'il�t/"c�u'.�-�t �uN�� �C, /`l;'C-�
6. Is the applicant or organization or an zed under the laws of the State of MN? ti/�.s
i9�� T �
7. Date of incorporation c�T L u c- ��Tic D c;`'1/�n/ i�A-'T/�c'•- i :� C!ti u��c•:r-%1
8. Date when registered with the State of Minnesota ��(, /�, �/ c�� / � 7�
9. How Iong has organization been in e is ence? � '� �//�R R S
10. How long has organization been in e is ence in St. Paul? �'� v� AJ�,'S
11. What is the purpose of the organiza io ? %c� �p�� SF_ /�'fvti/��/ -�o � � b/�Cft7i��1�/Il�
' � u
;. PvS�=S �, /�. � o t �.f�D c1� itl�D/��u�f ��ltl�Cf'
12. Officers of applicant organization:
Name r . ol'fE A t KFN " !Z Name ���41�'�fl R�T LT, �`C�'/=N i C-
Address � � �NDl�'�Ce� Address �(> / C � �-i'rr/�C=�
Tit1e�R�5�nFN�� p�5��OB ��"% D Title ��=AS�t1Z�� DOB %i �-�L%
Name �T/FE.it� �A Si�.�f�S Name �,(pI�'Eiv � �, ���ZC-t>!�/��c/
Address � �v� G� ���� ��/�'� Address /[� �f�r �i c_. TE�
� � � �i �
Title �C..E- /i�E5�vr_NTDOB cJ-,� � / Title /�/�,�/A��R DOB ;�-/ �,5�
13. Give names of officers, or any oth p rsons who are paid for Ser.ViCeS t0 the
organization.
� L � �� //
,�
�
Name ����'� ���" � , �Name
Address Address �
+ �
Title ��' Title —�
'� (Attach separ te sheet for additional names.)
C���a�
14. Attached hereto is a Iist of names nd addresses of all members of the organization.
15. In whose custody will organization' r cords be kept?
�- i
Name ��D � �,C ; C."-c'/,�Ct�RR�/ Address ��� 9� %�i,E.T,E!?
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name ��c�I�'�,�/��. , �D Name �(i9!t'�/�F��T C,', /�(D.G A�i,r�
Address 1 �5 � 7�� Address yC/ �. C_C�T7`AC:=C
Member of Member of
DOB �%!.{";� S Organization? DOB 9 3 �/G Organization? ��/�S
Name �E il� �J,E/?aME. ���KtN�ru'� ,� . Name
�
Address ..S ��' /�v��� Address
Member of Member of
DOB �'—�/—C�G Organization? S DOB Organization?
17. a) Does your organization pay or in en t,o pay accounting fees out of gambling funds?
yes no y/
b) If you do pay accounting fees, t w om will such fees be paid?
Name Address
DOB Member of rg nization?
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly un erstand the provisions of all laws, ordinances,
and regulations governing the opera io of Charitable Gambling games?
19. Attached hereto on the form furnish d y the city of Saint Paul is a Financial Report
which it .emizes all receipts, expen es and disbursements of the applicant organiza—
tion, as well as all organizations ho have received funds for the preceding calendar
year which has been signed, prepare , nd verified by ��. � RrNCF ` C.o�'{c'-.CI��"�
9'S ��r� :� , A-u ,� 1� �, -S�v �
Address
who is the � Et of the applicant organization.
Na
20. Operator of premises where games w 1 e held:
Name C"i � l ft R/ u- .c.U�n/C � .SSC� L f�T/D
Business Address 4 / �
Home Address
� , �� ���
21. Amount of rent paid by applicant or an zation for rent of the hall:
�l d� �i: �L c�,; .S�c S� � ,,
22. The proceeds of the games will be d sb rsed after deducting prize layout costs and
operating expenses for the followin p rposes and uses:
� i.-i. � J`� T/!��/A L � � � ,c s c K ft E �'ff/� /7i ��/ C�
}�,� �fl i��Stf Qt Jt D �y � b'u A vA�,c[��- '� i,L i2 C'/�
23. Has the premises where the games ar t be held been certified for occupancy by the
City of Saint Paul? r,S
24. Has your organization filed federal fo m 990-T? � If answer fs yes, please attach
a copy with this application. If a sw r is no, explain why:
/V� r � ��,� � � �-i3w%
Any changes desired by the applicant ass ci tion may be made only with the consent of the
City Council.
Qt.t J� �ff o/ b-� ������ b I��.a N� ��f l�i!�Z c`t-F
�
�( R� �i�C�c �,� �t�
Organization Name
G�'�i�u�;i 7 �9�� � � �`�-�,
Date ) By: �G�L.C�Z2�i ��L�vt�
Manager in charge of game
�', f'�sz �!�'�!�'�.1=�;�t�r�C��� _
rganization President or CEO
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. . C y o Saint Paul Page 1 C/' �����
Department of na e and Management Services
Divisioa of Li nss and Pesmit Administration
UNIFORii CAARIT LE LING FINANCIAL REPORT
Date /�A IZ C ft '7� ly.���f
1. Name of Organization`JGIAN E p ��1�13 ' ,�jr://-� f�I� o. (�uAOgtiN���= �Nu�`CH
2. Address vhere Charitable Ca�blin is onducted ��r� �R'�/� _5/
3. Report for period eoveriai ,S 19 �� through ��� ..".� 19�
4. Total number of daqs played
5. Gross reeeipts fos above psriod ; � J _ Q_r'g�
6. Grosa prise payouta for above pe iod (includa cash ahore) ; '0 :y� .�.,�d
. 7. Net raceipts - line 5 minw line 6 ; �3 7��_.��
8. Expanses incurred in condaeting nd parating gaa:
A. Groaa wages paid. Attach vo ker liat vith �
namaa, addresses, gross wage . n �r of houra S � � � G� , U��
worked. and amount paid per our
� B. Rent for .:.�0 veeks ; ��` � �' �r ��
C. License fee f ?��' � ��
D. Insurance c`.�µK E t1 TR J1E s C�l�i�E c'1 i
E. Bond ; � �� 'S • � �
P. Dishonored checks not recovs ed � •� y �• C ��
G. Accounting Facpense f
_ N. Employera F.I.C.A. ; ���� ��
I. Pulltab Ta�c Paid to Departme t o Ravenue i
J. Minn. U.C. Tax f
R. Faderal Excisa Tax b Staap ;
� L. Stau Gambliag Ta�c i !g 3 I 7.G'C�
H. Miscellaneous Expsasss. Id t tha aaount
r 3 . ,
E��;�p'.N� \ �nd�to vhosc pa�►r�p�a`i+/LJ I D. f i-�
���,N � %� 1.7�Hf�t 6E I �~1��c_e�ZU t3<i' �.��
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g ,� 2.
+w��s�,e•,�r�c�r��PPL���►r,�N �
3.'�ccTH9�T'�K— 57"/►HN /a7•��
ADI:AS.Stc�.
4 ,'v..rrff,i;ax a 7o, �'c
d�1��yMEN rS �Bi�rF..- �'A .S '.
� .y, c�a,�c�s- �-:��- bH^�K �m�'rnr. i ! � Y� 5, �%��
9. 'fotal E�cpenses J%�+rEn�T
10. Nst Incos� - lins 7 �imu lias ; 9�� � ,'�-
11. Checkbook balaace beginnin� of �r ; �l r'� C? �
12. Total of lina 10 and 11 ; l L� J � 7� �C
' 13. Total contzibutiona (froi attac ed rksh�et) f ��-� � �• ,'�=
14. Checkbook balanee ead of report g eriod -
line 12 less line 13 . � �C`�''l', C C
� � t ur �� , rhu� ,
' ' UNIFORM CHARITA LE GAMBIING FINANCIAL REPORT C�i��'°2`5
' LA�FUI PURPOSE ON RIBUTIONS - WORKSHEET
Li ne �13 - Total Lawful Purpose on ri buti ons. S q S'/ 7, ��'
�. List below all checks writt n rom gambling funds which are
charitable lawful purpose c nt ibutions. The total dollar
� amounts of these checks mus m tch the amount claimed in
line #13. Use additional s ee s as necessary.
CHECK # OATE PAYEF CHECK AMOUN PURPOSE
_'�, �'I N y
1. / � �.7 �_��"�� ��cit �l30y c�f �u DA kN� � .33,� Tu., i�r�N Rssis'I�N�C � �
�,� �� n c rt -? =�'�. r'�HK i�N a,��r2 ,s�,t�� i� �� s
. � / / "�, / ! .� C'.H,L J o�t c�N�,cnkt� flTt��JpiNG'-
2. /� �% 2 S�/'� b� � ` '` � � �} �/a-r»�> .;.i r ��E HEi+/Ti�R�! cii
�.��v. GL'" �f/ �/t 5 L•:/�c c^L
3. /G �7S' L - 2�- � � � : , . , ,
/ J��F /�t=/c��t�S �D t: c�A T l o.�/
4. I�7G� � 7�;C� •S��r ' ' ,. ✓ �' '?. �5 . ('/�iJS�c.s .�l"�e:t c�a�i�,vK�.d TNIi'ci
.,
GJ �r A R s G%/L d i i��Zc u�,t �i�i•r T/t
y j����' +� , i, � J (.� J. � �' kd,/���r
5. l'7// � ' . .
L�nI r1,�i/./,�j t"/C ,V t`_./4/�SFi�c� J`C�'Z,
6. /7/5� �-�� ,35�' ., . , / �2 �-)�� �' 'tccNS � /-�vu�, r5
�. / 7 �, � ��� .,��_��, , < , j'�?. 7 � fJL�Kh r COc�<�Nri�.�
�
, .. . . .: �. <. , - ' - '• � C°•.'1 C-C `'_--=-------__ ---
8. i'7�5 //-�c�-y�� ' � 5 J�': � ,
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•�/(` �T�•Ct:<c ���
� 7'ir,G �.��r{
9. I ��c� /,�-��-.5:�� , � ��7. %�
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10. i�3�.� /-�/-y j . /o S�^- ��_3
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11. � �`�� '�''�7 . , �t
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12. (. ' � �
%/`� T�'Z ia N j� I
/i
13. � , �
- , ,
��
TOTAL CHECK A UNT $ �',/�'��:'
NOTE: These expenditures will be prov de to Council Members at your Council hearing.
� Be sure that your financial rep rt is complete and acc;srate.
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