06/19/2002 Match Commitment
IV.B. MA ~~H COMMITMENT OF CASH DO~' - TION
Agency Name:
Monroe County Board of County Commissioners/Monroe County In
Home Services Program
Donor Identification:
Name: Monroe County Board of County Commissioners
Street: GATO Building - 1100 Simonton Street
City: Key West
S~ate: FL
ZIp:
33040
Phone: 305-292-4572
Authorized Representative: Charles McCoy
Mayor
Monroe County Board of County Commissione s
Total Amount
$ ,9,303.00
ALZHEIMER"S DISEASE INITIATIVE
# Payments
1 :;>
Amount/Payment
$ pro ~?ted
Contribution Period
7/1/02 thru 6/30/03
Special Conditions:
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I hereby certify intent to make the cash donation set forth above for use in ttie~iieci~d
program during the program's upcoming funding period. This cash is not in~d~ as'?
match for any other State or Federally assisted program...Qt cQntract and is rin b()rn~y
the federal government directly under any federal gr9J"! ()J('lntracl.
Signature of Oonor or Representative: ~ \
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MAYOR CHARLES MCCOY
Donor Certification:
Date:
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IV.B. MA-~H COMMITMENT OF CASH DOt. - TION
Agency Name:
Monroe County Board of County Commissioners/Monroe County In
Home Services Program
Donor Identification:
Name: Monroe County Board of County Commissioners
Street: GATO Building - 1100 Simonton Street
City: Key West
S~ate: FL
Zip:
33040
Phone: 305-292-4572
Authorized Representative: Charles MCCoy
Mayor
Monroe County Board of County Commissione s
Total Amount
$ 10fl 00
HOME CARE FOR THE ELDERLY
# Payments
1 ?
Amount/Payment
$ ]?ro-R?te>d
Contribution Period
7/1/02 thru 6/30/03
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Special Conditions:
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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..,Pt ~Qntract and is not borne by
the federal government directly under any federal grYlt.cgntract.
Signature of Donor or Representative: ~\
Date:
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MAYOR CHARLES MCCOY
January 2002
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