Box 8, Folder 20, Document 36

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Box 8, Folder 20, Document 36

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OLry OF ATLANTA

OFFICE OF MODEL CITIES PROGRAM

565 Hill St. SE
Atlanta, Ga. 30312
404-524-8876

Ivan Allen Jr.. Mayor
J. C. Johnson, Director

REQUISITION FORM

Neighberhood Funds for Resident Involvement



TO : Community Affairs Department
phon. J Pryedetec pctde'ss
(Community)

Date Requested: EE (96h

Date Needed: COS. eee Ee Se FE
4 J

Requested Amount: "2 f ¥

Purpose: I dae ow n jctiiee dees

a 36 ~ 24 EF

prahorg YU Be &

Authorized Signatures:
Libs ta Lien
Be NaS ee



fe s -
Approved: [\isnmn

Rernone Clayton
Community Affairs Coordinator

Action:

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