Miscellaneous .r
Check No. Payee Net Pay S.S. W.H. Ins. Gross
633 Sarah D. Curry 241.88 17.80 39.90 4.74 304.32
634 Anna Daniels 294.58 22.50 62.80 4.74 384.62
635 Isabel German 127.44 9.00 17.40 - 153.84
636 Annette Mobley 197.58 14.24 26.90 4.74 243.1.6
637 011ie Lou. Proffitt' 110.19 7.31 7.50 - 125.00
638 Charles Thompson 105.49 7.31 12.20 - 125.00
Payroll Period Ending October 10, 1975
643 Sarah D. Curry 241.88 17.80 39.90 4.74 304.32
644 Anna Daniels 294.58 22.50 62.80 4.74 384.62
645 Isabel German 127.44 9.00 17.40 - 153.84
646 Annette Mobley 197.58 14.24 26.90 4.74 243.46
647 011ie Lou Proffitt 110.19 7.31 7._50 - 125.00
648 Charles Thompson 105.49 7.31 12.20 - 125.00
Payroll Period Ending October 24, 1975
659 Sarah D. Curry 241.88 17.80 39.90 4.74 304.32
660 Anna Daniels 294.58 22.50 62.80 4.74 384.62
661 Isabel German 127.44 9.00 17.40 - 153.84
662 Annette Mobley 197.58 14.24 26.90 4.74 243.46
663 011ie Lou Proffitt 105.45 7.31 7.50 4.74 125.00
664 Charles Thompson 105.49 7.31 12.20 - 125.00
Payroll Period Ending November 7, 1975
675 Sarah D. Curry 241.88 17.80 39.90 4.74 304.32
676 Anna Daniels 294.58 22.50 62.80 4.74 384.62
6?7 Isabel German l27.4)1 9.00 17.40 - 153.84
678 Annette Mobley 197.58 14.24 26.90 4.74 243.46
Payroll Period Ending November 21, 1975
Total 5,094.96
Key West State Bank Account Number 90 -108 -3
Monroe County Council on Aging, Inc. 1
Nutrition Program for Senior Citizens / ' 6e(2°, 600 White Street , /
Key West, Florida 33040 --
I, J
Anna Daniels Project Director Isabel Ge Social Worker
Annette Mobley Secretary /Bookkeeper
Sarah Curry Site Manager /
Charles Thompson Site Manager 5
011ie Lou Proffitt Site Manager 1
' �p -__� z } y j y 9y
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a
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October 10 0
•
e Titonsort 149
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4 4024 CIA ii0041,004
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alkATa 1 'R i C R i► 4 Y Q*
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10407 am 3,25.00 2.0„1443
431
44 20
F
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PAT PSEUDO ENDING OCR ID. 1975 ,
al
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FOR PAT FEIII0.OS INGOMB10. MS
.7s ' . ; • ' — ., , ` ' ' ' ` - '1111,401 1 p1, • i; YiA !•YP":4 - "" , 74 . . - ._:..- 7..,,,4
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FAT Esi g i on END.1;11C1 OOTOZaR 24 . 1975
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ft* PAZ. pERIOD Signiba OCR 24. 3,975 . .
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NiCKSRAle 4441417 t s r� �r� �a j
Oetober Zits
Annette Initioliky 19748
littnexed Plittet7 Sgriralit Dellara &
%VIM VS**. ?Lt 11
1 r' ... J `.t r i. >4A „,,Si
1 VIS iDistOri 1 gam & 23** ?I*
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VOX PAX PERIOD EtWillgt OCTOZOlit 24s 1975
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October' 2 . gmg
Issesbe1 127t'
lAmproaNNCl2le Tifent3 Sierrezt DoUara i .44 •
T t
fltra Otiatla is 3C i21a
_•�- - _ . =.-:tea 14**"`" apalrrnout twoolove rta
reel Itlf tie 43 13
!tett Pay *
PtIlt PitX PUIOD MING 041X)Billt 24, WS
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October 24,
Vii"
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PAT PERZOD ECTIDING oct .z 24. t9E
,
_ {
. Rtq±.^JZ•, -e c ,tiar r ' x z Ef � ::K n•;Cr > -: >;. •,. _.. -,... - za,.:- �..r... .R...: • .,..- ,,,.' ,_ , — -
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ittIVOMber it. 75
Duels 5
s!c! sssos, sa saws, .
i:orm 7o4tea 1 %34 ( I.]isL alga 7.
e w
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-.
5.3 4I, .. .,
FICA va,
e
P 194
L
702 PAT PERIOD IDOT1113 11041341BIIR 7. 1975
,. s
a 1
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1
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.
1
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K �� S ST ”
i
1
9144T fig- A R: u t s A r t C, !>: al ft W: D{ e`
W.U. 0. 3.90
tug* 100
..., , ,.. .._ fiet Pilly . ,
poR PAT PMOD 1D2SO NOVANIBlat 7. 1 ..;
x
a "
r. " , � , f'n.k !�L" +tp�t�" +'t... w ': 4c - Pik'. *r.+. . , . e. - y �- a .. ... :,, . + . :. , � -t,. ..rw !'.s.., . • r v - ..,t a 1'. - ,34 n4iirrt..; 4 * x.
o . 0662
t 4
f a.et
s1�f5c�w �tWk i i' �4 iJ�"Fiia a �.tw .;,T, 5: ..ig • w k
l i t Ox 1
.Novesber 7,
Annette $obtey 2$7.58
Alsbooft Nontered Sistely Sampan Oo31 & ,58400i00
fir
T., rr
4 G* WOWS* fili/opi►
,,
1 :0 0 0 I t I; Wu) & 23 7
trX'!- — rt P•'",."1'.."‘ xf fr" .,,;, ;x°' ,,,:*;
114 Greats 20,46
NA 40 26,90
,
,4s
FOR PAZ PERIOD nano max= 7. 3.975 ,
i
.
T t
S
1
0 6 61
r.CrW+.4R� s 4„i,„. L t Cisr,•
4I tat /446 %' ri4t9d"Y'F�it44. f•VS] fiawo...= i i 1.. iaia-.,' '..
Nave: dar 7. 75
timbal Gomm
0.....4101* 3 utldred Twenty Sever DoLtars & 4. /3.O4.R w .r..M.
, ry
, i 't t , t , • , - ,r.- t • - A-,, uUTRIMON MINNULIC tit 1, .- -
'DAY* ' P. ar c h f # it t H `f it** l ititi
1:7Ipw.. _ .. __ . ... ..... •. - 'sC'•'f.Uti'- ....+cxtC,�rr - • s. y+ way.: u.. tw�9k +St9.o:x's..r¢tsr..ic:'+sac. -• _ ... .. .
?-75 253• E .
Pl 9 ,00
lel a► t : t
14'` fl *
PON Mx PE1100 ENDING NOVEMBER 7, 1975
-,,,,._e .pAY s .�, - m .,:. h+* ;,,.. s, a ; +P
• � O6 4
i , * COW:* ;T ir' .4;7;U.. • x.tea._:t.. •,4
labe:r 7.
Ohs won ' 10549
{ yosimmOine Pkadred Five Dollars a .49J
I' C 'Rid/ ST � J1 ' ' i �� ''
,.+`: r
4 Vilit.-t. 840641.*
ti r , rte j I rrf`-. A ^.,l ;x
C : Irk 70.110131* 3pg RAG at & 2 3 111 710"
kr 14 V f t: Ys ! f T • n * It3o +.� ti i4r
U .7•745 Gross 125.E 3Q$.
PICA 4. +� *24 7 I
s
FOR FAY PERIOD END leer 7: 197.E
r ,, ...,.. -.. f,.- ;,nF _: , * ^ , .,;.. .. _ . ,. r,: .a .. , , .r +;r<a -. yt;y. a p.n: .. ,,a,...,- - •..
. . .
'Y ;'Y
p. . �.,r
0883
JEil .awl' coix `1 tir E. 4.04d:1'4 i...n, w *w r,o+:.r;e.::..t a.;-44r.
46. il9"i3s`t } 4.64 i- Cot.i ufiks.,,,,.`ar% #.' i,w:l4.Z
4
r
November 7. 19
Otte Lon Proffitt - 5•
Pve Dom & , /Z
x' ' , -''9F" S' '"
KrCti iPJ1:w t. iiQflCAIMi '
?la Es 700100 I, 3f# ciOnt 1 #
...- .......,- ,--,.. -' s•. -, a ,^ -, . hi s. -
°slut ek s s A # t 4 ,, a• ,t oak•vitlt
11..7$75 Gross 125.00 j
wit 71 4
(-- ,„, . 4
P'
VOR PAT PERIOD ENDING NOVEXPER 7. 1975
r , 0 - „; • • f
e6
Novuther 21, 75
Annette Ilobltri 737055
..One Rvitadred Ninety Seven Dollars &
17,fica`div s
rOgaditilb& r
1 1 4; # ..44 • ,
t:or, Tuwou t. 3C gag•1230, I
NUTILITICit IllnaltAtt -Plot VT rt5".1. f,75
n.1451 * Sik*PIrStsw 410601110.?
1141.15 Gross 241.46 297.58
PICA 2,44,24.
W•lt. 4. 26,90
r
Rat Pay
FOR PAY PERIOD ERDIRG *)YM 21. 1975
tn 0679
ilia
t A • -
eao
Rove:lbw:A 21, 75
011ie Iu Proffitt 105445
iftswoomp•Ozto fittadrod FLYS D0218111 & .
4:amok
2:fat 70*“. 0 0 ts IC r204 Z 30. ?a°
0.1 gr, •••• • 'a .rs , Ty.1 fillirfarn(N4 irolOCAMe 117: 5 5 •
- -.4.7 44114.11C432...=.11711S1GlegAVOMMOM .07"..734111adtr, 20311U
11.21045 Grose 125,00
FICA 7.31
•11, 7,50
Ito
10
FOR PAY PERIOD ENDING NOTEREIR 21 1975
•
•
NQ O F, 7 6
• •
t' -' •
4.44,t4v.■i
•"!
November 21. 75
Anna Grace Daniels 294.58
Hundred Ninety Four Dollars &
, ,
*.c* vitt* 11.44.4111.60*
CI 2.4 71' 2 3"1 71e
ef7 NVIVITION PROC, eut s:
06r.14 1_..Arr
ts
aer,
1141.75 Gross 38 1 IC3Ir
FICA zz.5o
62.80
Ins.
Net Pay •
FOR PAT:PERIOD NDIii NOVEMBER 21, 1975
Ne 0 77
4 A s. 40 tui a/0'1_41a I.="1 ' c'j= 420
rx_' •
er/i:4
November 21.
75
Isabel Gomm 127.44
iluzulred Twenty Seven Dollars &
Ion:* S e
• •
*If 'W1,14 11.42
70'00 iks :14 ritlm I 2 Tie
NUTRITION PW`1711N34 f!' - Tr"
1 UM.= •••••.J.T.-9:714 agger.ree., Stitre.r..t04.-IgaralalritaMMXIertilr.PPOORM,115.,
* 1'
r.) P r SXOPNIP
11.2145 Gross 153•84 127.44
FICA 00
W•ff.
Net Ps 12 4 Pay
FOR PAY PERIOD ENDING NOVEMBER 21, 1975
, , .•
■ •
•
_ _
0 6 F 0
411
441,0 itei al r 4 4
- 4Aa
Noveber 21, 75
Charles Thompson 105.49
...One Hundred Five Dollars &
• -
ISIf Orit ST • 1
•
. .
1,0 E.; 70u0 0 31: tiOm "2 3m 710
MYTITMON PrZOPAINA .1
.4 I
' 1+.■ 4 9
11.2145 Gross 125.00
PICA 7.31
W.H. - 12.20
•-•
Net Pa/ 105.49
FOR PAY PERIOD ENDING NOVEMBER 21. 1975
•
•
- • .■
November 21, 75 (0E2
Sarah Curry 241.88
Hundred Forty One Dollars &
• It:A; SIT,'
.••
r . FLORIO*
•
El 7 n al: 90t. Z 7s*
NUTATTION Pi-nr.ltrA
n .L P asnalsallr
11.021-75 ' Gross 3041.32 1.88
FICA . 17.80
W.H. 39.90
I ns. lto
Net Pay 241.00
FOR PAY PERIOD ENDING NOVEMBER 21. 1975
,MMONROE COUNTY COUNCIL ON AGING, Inc.
- r
600 WHITE STREET
KEY WEST, FLORIDA 33040
TELEPHONE ( 305) 296 -9500
HOMEMAKER & INFORMATION AND REFERRAL RETIRED SENIOR VOLUNTEER PROGRAM
MRS. MARIE H. ARANGO, M.S.W., DIRECTOR MR. JOSEPH F. FLEITAS, DIRECTOR
NUTRITION PROGRAM FOR SENIOR CITIZENS
MS. ANNA DANIELS. DIRECTOR
March 18, 1976
Mr, Danny Kohlage
Monroe County Clerk's Offi ce
Monroe County Court House
Key West, Fla. 33040
Dear Mr. Kohlage:
As per the telephone conversation between you and our
Secretary /Bookkeeper, Mrs. Paula Rodriguez; this letter will
verify the fact that Miss Miriam Alper and Mrs. Clara Hyatt,
both employees of the Homemaker Services Program for Senior
Citizens, have a unique situation in regard to their mileage
during their working hours.
Both ladi es live in a remote area, in accordance with
their employment boundaries, Mrs. Hyatt lives in central Mara..
thon, but serves clients from Big Pine Key to above Cocoa Plum
Key. We pay her 14¢ per mile, after she reaches a clients home
to run errands, shop, do laundry, etc. We also pay her $15.00
per month extra distance allowance, to avoid paying 14¢ per mile
between destinations, and this procedure actually saves us money.
Miss Alper lives in Sugarloaf Key, and serves clients from
Key West to Big Pine Key, and we pay her according to the same
procedure.
Enclosed are'sample mileage logs for each of the above
employees.
Respectfully,
Marie H. Arango, Di i4f. r
HOMEMAKER, INFORMATI, '& REFERRAL SERVICE
FOR SENIOR CITIZENS
MHA /pr
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NAlviE 4 . i; Tr Co PA R 4 . POSITION / f 111, VAL-4 Ict.4
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For
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TOTAL i'i01::11; NIT:o• E. I 425 .
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• X NIT..1,-:"..,E riP.,TE ii 41 , ,,.../
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• • lviONTI 1\1:ELEAGE EXPENSE 80_ ..z. ,3 .(,,Gi - i 6 4, d
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Driv er u mi..' --- e Administrator' Signature
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T 4 .NSPORT4..TIOI\I, "N I �sA Ei_oG • NAME tI 0.-644.[x POSITION Ian - . /LAS ;
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• MONTH \- • -es... — .29 —.a$. Y -E'la_ )x'117
St&rt End 1 Daily
Date 1iiIeape Miepoe Miles For
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. •A ONTM-1 !MILE ACGE EXPE. NSL 8
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.• ems- -_ ._ _.�,1l�re A dministrator s Signature
Driver 03,,x
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Monroe County Coy .nc 1 On Aging, Inc.
1100 VARELA STREET • KEY WEST. FLORIDA 33040
NUTRITION PROGRAM FOR SENIOR CITIZENS RETIRED SENIOR VOLUNTEER PROGRAM
BUSINESS OFFICE, 801 FORT STREET ANN AND GREENE STREET
KEY WEST, FLORIDA 33040 KEY WEST. FLORIDA 33040
(305) 294 -7646 March 10, 1976 (305) 296 -9500
Mr. Ralph White, County Clerk
Monroe County Court House
Key West, Florida 33040
Dear Mr. White:
Enclosed is a list of expenditures made by the
Homemaker, Information & Referral Program for Senior
Citizens, which we would like reimburesement for, as
soon as possible, since we are truly in need of these
funds.
The items include only mileage and supplies, which
are our most critical financial areas.
Thank you for your cooperation in this matter.
Respectfully,
Marie H. Afango,COlEinistrative
Coordinator
HOMEMAKER, INFORMATION & REFERRAL
PROGRAM FOR SENSOR CITIZENS
MHA /pr
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t'.ON.: .r.KE ., I \ i , C) MATI0N R T_!--. RRA. " SERVICES
a SEIJCR o_TI=El :s
EXI=ENDITURES - REINPU SE ENT
DATE CK # TO FOR ANT
40 /1/75 110 Isabel German 7 ai, 4 .14¢ mile $ .98
10/1/75 111 Paula Rodriguez 59 miles 4 14¢ mi. 8.26
10/1/75 112 Elda Kaminski 331 miles C 14¢ mi. 1 +6.34
10/28/75 131 Isabel German 53.3 miles i 14¢ mi. 7.46
10/28/75 130 Elda Kaminski 202.6 mi. 4 14¢ mi. 28.36
1 166 Isabel German 43.1 mi. 4 14¢ a1. 6.02
22 /5/75 167 Elda. Kaminski 233.6 mi. 4 14¢ mi. 32.71
12/5/75 168 Miriam'Alper 135.7 mi. @ 14¢ mi.
+ xtra distance allow. 34.00
1/7/76 191 Isabel`German 34.7 mi. 4 14¢ mi. 4.86
4/7/76 192 Miriam Aiper 201.4 mi. 4 14¢ mi.
+ xtra distance allow. 43.20
1/7/76 193 Elda Kaminski 200.7 mi. 4 14¢ mi. 28.10
1/7/76 194 Paula Rodriguez reimbursement for gas 24.00
1/24/76 204 Clara Hyatt reimbursement for gas 26.75
1/24/76 203 Marion Richsaann reimbursement for gas 26.60
2/2/76 214 Elda Kaminski 291.8 mi. f 14¢ mi. 40.85
2/2/76 215 Miriam Alper 210.2 mi. 4 14¢ mi. 44.42
2/2/76 216 Isabel German 30.5_,ai. 4 15¢ mi. 4.27
2/20/76 229 Clara Hyatt 59 ai._ @ 140 al. 8.12
3/2/76 238 Elda Kaminski 246.1 mi. 4 14¢ mi. 34.45
3/2/76 239 Miriam Alper 188.6 mi. 4 14¢ mi.
+ xtra distance allow. 41.40
3/2/76 240 Isabel German 48.1 mi. @ 14¢ mi. 6.73
3/2/76 241 Paula Rodriguez reimbursement for gas 24.00
2/20/76 230 Petty Cash Reiltbursement office supplies &
Duplication 44.00
2/2/76 219 Monroe Office Supply Co. Office Supplies 12.69
(1)
2/2/76 21.8 Buddes Office Supply Off. Sup & Duplication 425.23
.2/2/76 217 Keys Office Equip. Off. Sup. & Duplication 13.08
1/24/76 202 Fla Keys Keynoter Advertising 6.90
1/16/76 201 Petty Cash Reimbursement Off Sup. & Duplication 29.00
1 /7/ 76 183 Petty Cash Reimbursement Off Sup. & Duplication' 19,00
1/7/76 182 U.S. Postmaster Stamps 13.00
1/7/76 185 Keys Office Equip. Office Supplies 7,29
1/7/76 186 Buddes Office Supply Office Supplies 6.12
1/7/76 187 Monroe Office Supply Office Supplies 33.58
12/5/75 162 Monroe Office Supply Office Supplies 1.90
10130/75 134 Petty Cash Reimbursement Office Supplies & Dup. 15.58
10/1/75 122 Petty C Reimbursement Supplies, Duplication 35.12
11/29/75 155 Petty Cash Reirnbursisent Stamps, Dup & Supplies 40.10
11/8/76 147 Monroe Office Supply Office Supplies 5.89
11/4/75 146 Budder Office Supply Office Supplies 20.13
10/1/75 114 Buddes Office Supply Office Supplies 4.31
10/1/75 121 Cabanas Printing Co. Stationery -& Env, 21.93
10/1/75 113 Monroe Office Supply Office Supplies 40.81
12/19/75 175 Petty_ Reimbursement Stamps & Duplication 43.05
3/10/76 251 Clara Ryatt 231 mi. @ 14¢ mi.
+ xtra distance allow. 47.34
3/10/76 252 Monroe Office Supply Office Supplies 12.50
TOTAL AMT TO BE REIMBURSED ,,:,/ $ 1,020.43
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C E R T I F I C A T E OF I N S U R A N C E
OLD REPUBLIC INSURANCE COMPANY
Greensburg, Pa.
NAME & ADDRESS OF INSURED:
QUALIFIER: Afthur E. Coker COKER PLUMBING OF HOMESTEAD, INC.
BOOTS CORPORATION
POST OFFTCF BOX 2038
NARAN,TA _ FT,ORTDA 3030
TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION
GENERAL LIABILIEY CTfl -8711 5 -1 -76 5 -1 -77
AUTOMOBILE LIABILITY CL05 - 6711 5 - - 76 5 - - 77
WORKMEN'S COMPENSATION We R32g7000253 4 -1 -76 4 -1 -77
Arbonaut Insurance Co.
UMBRELLA in the RE 3377994 6 -20 -73 6 -20 -76
ui : :1 .•ui ._, y
LIMITS OF LIABILITY
BODILY INJURY PROPERTY DAMAGE
Single Limit 'Ea Occur Aggregate
PREMISES - OPERATIONS $ 500,000 $ 100,000 $ 100,000
Ea Person Ea Occur
AUTOMOBILE LIABILITY $ 250,000 $ 500,000 $ 100,000 -
UMBRELLA $ 1,000,000
WORKMEN'S COMPENSATION COVERAGE IS STATUTORY.
In the event of cancellation of the above described policies, the
Insurer will mail notice of cancellation ten days before the effective
date of such cancellation to the holder of this Certificate.
DATED: 4 - 16 - 76
BY: AGENT
MINNIX INSURANCE, INC. CERTIFICATE ISSUED TO:
9820 South Dixie Highway
Kendall, Fla. 33156 MONROE COUNTY
Phone: 667 -6456 County Courthouse
Key West, Florida
CO i;ITi.iE !T OF CASII
CO"!TRI3UTIO'!
To: Information ;z Referral Services for Senior Citizens and homemaker Services
(project nave)
From: Monroe County Beard of Commissioners
••(donor name)
500 Whitehead Street Key West Monroe
(street address] (city) (county)
Cash in the amount of $ 2,066.78 is committed for use
..
by your project for the current year. This donation will be
on a reimbursement basis
made i ixxxxx3O441; (PaV Xxxxxxxxxxxxx: , beginning
on or before October, 1976 and being completed on or
before September 30, 1977 .
This cash is not included as contribution for any other
Federally assisted program or any Federal contract and is
not borne by the federal government directly or indirectly
under any federal errant or contract except as provided for
under (cite the authorizing federal recualtion or law).
MCNR COUNTY BOARD 0 COMMISSIONERS
�//
Mayor - Pro Tem - Board of County Commissioners - Monroe Co.
(position)
ATTE ' .
-4� �'7 - Clerk - Board of County Commissioners - Monroe C4
(d not s signature) — (date)
April 13, 1976
4 11 4 tell c o , , ( eft./ ( .,i
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COIF ■IThEfT OF Il`! -KIND
COi'TRIBUTI0; l OF SPACE
•
To: INFORMATION & REFERRAL FOR SENIOR CITIZENS & HOMEMAKER SERVICES
(project name) •
From: Monroe County Board of Commissioners
(donor name)
•
County Court House, Whitehead St. Key West Monroe
(street address) (city) (county)
The below described space is committed for use by your p ct
for the period July 1, 1976 June 50, �
• (from) (until)
Description of Space: Armory - 600 hhhite St. Key West, F1
(street address) (city)
Space donated by owner:
a. Latest acquisition cost
b. Cost of the land $
#1 Cost of the buildino (1a -ub)
c. Total square footage
#2 Cost per square foot ( #1 c)
d. lumber of square feet used 700
#3 Cost of square footage used ( #2 x d) 1.50
e. Percentage of time project will have
control of'space 100%
#4 Value to project (2% x e x #3)
Rent to be paid by a third party donor:
ionthly rontal value of space
Humber of months rent to be paid
Value to project $
Acquisition cost should include the cost of capital improvements.
This space is not included as contribution for any other Federally
assisted program or any federal contract and is not borne by the
federal government directly or indirectly under any federal •rant
or contract except as provided for under (cite the authorizing
federal regulation or law).
R 1ph W. White e
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(donor
ao . s signature
Clerk to the Board of County Commissioners April 13, 1976
(position) Monroe County (date.)
i t
E
COMITOENT OF I '! -KU'D
CO°JTRIBUTIONS OF OTHER GOODS "PD SERVICES
To: • ,_ , .,, .- Se vices for Senior Citizens and Homemaker
project name Services
From: Monroe County Eoard of Commissioners
(donor name)
County CourtHouse
Whitehead St. Key West, Monroe
(street address) (city) (county)
The below described goods and /or services are committed for use
by your project for the period July 1, 1976 June 30, 1977
(from) (until)
Description of Goods and /or Services:
Electricity $67.00 per mo. x 12 mos. 804.00
Water 20.00 per mo. x 12 " 240.00
Computation of ∎ral ue
Value to be claimed by project $ 1,044.00
These goofs and /or services aro not included as contributions for any
other federally assisted program or any federal contract and arc not
borne by the fedora] government directly or indirectly under any federal
grant or contract except as provided for under (cite the authorizing
federal regulation or law).
Monroe County Board of
Commissicners
(donor)
Clerk to the Board
_, i • on)
• April 13, 1976
ta r s signature (date
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