10/18/2000 Match Commitment
IV.B. MATCH CvMMITMENT OF CASH DONATIl,..
Agency Name:
Monroe County Social Services - Nutrition Program
In Home Services Program
Donor Identification:
Name:
Street:
Monroe County Board of County Commissioners
5100 College Road
City:
State:
Zip:
Phone:
Key West
FL
33040
305-292-3430
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Shirley Freeman, Mayor, BOCC
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Authorized Representative:
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Total Amount
$~1-0-O, 600-.00
# Payments
Amount/Payment
$
: Contribution Period
1/1/01 thru 12/31/00
Special Conditions:
Donor Certification:
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.
March 1999
Signature of Donor or Representative:
IV.B. MATCH COMMITMENT OF CASH DONATION
Agency Name:
Monroe County In Home Services
Donor Identification:
Name:
Street:
Monroe County Board of County Commissioners
5100 College Road
City:
State:
Zip:
Phone:
Key West
FL
33040
305-292-3430
Authorized Representative: Shirley Freeman, Mayor, BOCC
Total Amount
$ 126,nO~ 93
Community Care For The Elderly
# Payments
Amount/Payment
$
Contribution Period
7/1/00 thru 6/30/01
Special Conditions:
Donor Certification:
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.
March 1999
Signature of Donor or Representative:
IV .B. MATCH COMMITMENT OF CASH DONATION
Agency Name:
Monroe County In Home Services
Donor Identification:
Name:
Street:
Monroe County Board of County Commissioners
5100 College Road
City:
State:
Zip:
Phone:
Key West
FL
33040
305-292-3430
Authorized Representative: Shirley Freeman, Mayor, BOCC
Total Amount
$ 5,344.00
Alzheimer's Disease Initiative
# Payments
Amount/Payment
$
Contribution Period
7/1/00 rnru 6/30/01
Special Conditions:
Donor Certification:
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 fedeq~~ii!~". t directly under any
federal grant or contract. /~.'~;r~-~ ~~
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March 1999
Date: /~f/CJO
Signature of Donor or Representative'