01/17/2001 Match Commitment
IV.B. MATCH COMMITMENT OF CASH DONATION
A <Yency Name:
o.
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
Donor Identification:
Name:
Street:
GEORGE NEUGENT, .MAYOR
310 FLEMING STREET
City:
State:
Zip:
Phone:
KEY WEST
FLORIDA
33040
(305) 2'92-3430
Authorized Representative: GEORGE NEUGENT
Total Amount
$ 22,263.96 (IIIC-2)
# Payments
Amount/Payment
. $
Contribution Period
01/01/0r - 12/31/01 '
Special Conditions:
Donor Certification:
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I hereby certify intent to make the cash donation set forth above for use in the specified program during
the program's upcoming funding period. This cash is not included as match for any other State or
Federally assisted program or contract and is not borne by the federal government directly under any
federal grant or contract.
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Date: ,It 1/0 I
IV.B. MATCH COMMITMENT OF CASH DONATION
Agency Name:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
Donor Identification:
Name:
Street:
GEORGE NEUGENT, MAYOR
310 FLEMING STREET
City:
State:
Zip:
Phone:
KEY WEST
FLORIDA
33040
(305) 292-3430
Authorized Representative:
GEORGE NEUGENT
Total Amount
$ 45,559.00 (IIIC-~)
# Payments
AmounUPayment
$
Contribution Period
01/01/01 - 12/31/01,
Special Conditions:
Donor Certification:
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I hereby certify intent to make the cash donation set forth above for use in the specified program during
the program's upcoming funding period. This cash is not included as match for any other State or
Federally assisted program or contract and is not borne by the federal government directly under any
federal grant or contrac;t.
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Date: 1/1]/0/
IV.B. MATCH COMMITMENT OF CASH DONATION
Agency Name: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
Donor Identification:
Name:
Street:
GEORGE NEUGENT, MAYOR
310 FLEMING STREET
City:
State:
Zip:
Phone:
KEY WEST
FLORIDA
33040
(305) 29'2-3430
Authorized Representative:
GEORGE NEUGENT
Total Amount
$ 11,150.99 (OA3B)'
# Payments
Amount/Payment
$
Contribution Period
01/01/01 - 12/31/01
Special Conditions:
Donor Certification:
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I hereby certify intent to make the cash donation set forth above for use in the specified program during
the program's upcoming funding period. This cash is not included as match for any other State or
Federally assisted program or contract and is not borne by the federal government directly under any
federal grant or contract. / .
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Signature tatlve: 0 G Date: I /n/o f
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