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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:
Bar AGA 196 9
= ee eek, / fe
4 Klay 7