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i�:� 1� <br /> � City of Decatur Neighborhood Improvements Commission <br /> Funding Application <br /> � <br /> Name of Applicant/Group: � �i'�D <br /> Project Contact (Responsible for signing c pleted application): <br /> Name: �uQ.I� Yl1 - �/(lfng <br /> � Add ress: ��(�� � <br /> �1Q�r�-�n�ru�gh 11 �e I�oo�c� <br /> Zip: �,o�5�l— Daytime Phone: C�'��-��`q l-OFt�O , <br /> � Neighborhood Organization: �� Endorsement 1�/N)� ! <br /> ; (OPT) Description of neighborhood area impacted: '�. <br /> I �o `�o(� b1oc�L� 150c� blo�1� c" �� �c��o1'��- �r n <br /> Description of Project (attach additional pages if necessary): � <br /> ��Q.Q�P �Ji�.�i� C1��fC1� �1rna�J "- <br /> � <br /> , <br /> ; � <br /> i <br /> i Project Value To Area: Ih� U��t�� �� �'�� p�D 1�-� i� �Q,(n4..�0u�, i <br /> � a o lC2 � <br /> � , <br /> � � � <br /> Responsibility for Project Maintenance (If Applicable): l 1�nS��l� �Y'c iq - �UQI?S <br /> Funding Request: $��0,�� �, <br /> �G'SCC'Ib(,' App�ICallt COtltflbUtIOC1 (25%of grant amount required in matching funds or volunteer hours): <br /> l-r-1�2 Q�n-Pl�rn n�- �,� �i `���LL��'_'�h�, �D �/n�U�l-tP P►� ���9 <br /> * Signature: .� Date: � ���� i <br /> Print Name: Y1�L�Q,�� �yt_,��,- Q►1:3 �� <br /> Grantee shall be responsible for providing a full accounting of expenditures to the City of Decatur j <br /> in the form of receipts or othe.r proof of purchase for all grant dollars spent.The City shall be <br /> entitled to repayment of dollars spent that cannot be accounted for or for full repayment of the ,I <br /> grant if it is determined by a majority of the Neighborhood Improvements Commission and � <br /> Decatur City Council that-funds-were used-for expenses oufside the scope of the projecf-for which — <br /> this application is made. i <br /> Please Retum Completed Application To: City of Decatu�, City Manager's Office ! <br /> 3rd Floor, Decatur Civic Center � <br /> 1 Gary K.Anderson Plaza I <br /> Decatur, IL 62523 <br /> 'Signature acknowledges acceptance of terms of grant process as outlined in brochure. ' <br />