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7/9/08 <br />COUNTY OF HAWAPI <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Department of Research & Development DATE: <br />Department <br />1011612024 <br />FROM: Ashley Kierkiewicz PHONE/FAX: (808) 961-8265 <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />1. AMOUNT: $5,000 2. To ACCOUNT #(i.e., 010.500.5503.02): 010.161.5163.20.115 <br />3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Business Development R&D 115 Misc. Contract Services <br />4. PURPOSE(S) OF TRANSFER: To support a PETFLVspay and neuter clinic in Council District 4 <br />5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />6. IS IT A 501(c)(3)? E YES ❑ No <br />*If YES, the IRS detennination letter and the Nonprofit Conflict <br />PETFLVSpay and Neuter Disclosure Form must be attached to this request form. <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: - To support a PETFIX spay <br />And neuter clinic in- Council District 4. <br />8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Supporting projects that help <br />help balance Hawaii Island's economic, social, community, and environmental well-being. <br />9. FUNDING TO BENEFIT THE PUBLIC -AT -LARGE (AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ No <br />10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER, ORDINANCE, OR DIRECTION <br />OF THE MAYOR? ❑ YES E No <br />B. DEPARTMENT'S RECOMMENDATION: <br />00, APPROVE F� DENY F� DEFER: <br />RATIONALE: This program supports the development of a local economy that is diverse, stable, resilient <br />APPROVED <br />COMMENTS: <br />i_,epartmeni rieaa <br />❑ DENIED <br />(h <br />Mayor <br />for <br />❑ DEFERRED: <br />DATE: A 0 V I S 2 0? 4 <br />