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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Office of the Prosecuting Attorney DATE: 12/31/2013 <br /> Department <br /> FROM: Valerie Poindexter PHONE/FAX: 808-961-8018 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,500 2. To ACCOUNT#(i.e., 010.500.5503.02): • 27/. 527/. 20.// <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Comm St//is #1 W6'11147" ktfsc• (0'h7 etS <br /> 4. PURPOSE(S)OF TRANSFER: Teen Dating Violence Prevention Peer Education Conferences <br /> in District 1 <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)? ❑YES ZICIO <br /> *If YES,IRS determination letter must be attached to this form <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: <br /> co M ilk /t STA--r,s o F ('Jo freely <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? [1(ES El No <br /> 10. IS THE PROGRAM OR ACTI TY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? YES ❑No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> `APPROVE ❑ DENY El DEFER: <br /> RATIONALE: <br /> DATE: /" 3 ( - <br /> Department Head <br /> C. MAYOR' ACTION <br /> APPROVED El DENIED El DEFERRED: <br /> COMMENTS: <br /> `►" � ` DATE: — t3 - 19 <br /> Mayor <br />