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5.1. SR 06-03-1996~ity of 'ver **ITEM 5.1. ** MEMORANDUM Mayor and City Council FROM: Sandra Thackeray, City Clerk DATE: June 3, 1996 SUBJECT: Request for $2,000 Donation from American Legion for Flags ACTION REQUESTED Council motion to request charitable gambling funds from the American Legion Post in the amount of $2,000 to purchase American flags. s:Xcouncil\flags.doc 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425 LG$03 Mirtnesota Lawful Gambling Request by a Government to Spend Gambling Funds Name ol Govemmeni ~ues~ng Fun~ ................... I Phone Number Address Ci~ S~ ~p Co~ Check ~pe of government making request: ~C~ ~ ~unty ~ Township ~ School Di~H~ No._ of ~ State of Minnesota, Depa~ment of , Division of ~ UnEed Stat~, Depa~me~ of , Division of ~ ~her Govemment~ Enti~' - spe~ :~.~.::~ zz~.~[U ".'.' · ~:~:~:~-:~<:~:~>~>>>~<:::>~J~::~::~:~55~:~<-~>~`~:~:~:~:~:~:~:~:~:~:~ .-'.:.-'.'..-. --.,.-~..;-....~.-x-:.:-:.>~:~?~:.:.~:~... O~,za,on Phone Numar '~n"' Nu~;; ..... "'""'""'"'*"' Address Ci~ S~te ~p ~e ~ ~ "'"' ' ~' ~'" .......... '"" .......... · f."'.Y. <'~ ".' ','r' ',?"m';<'''x~'~'':':~:':':'~;':<~':'~'~:~::-'~:f<:::.-;::.:,.~.::~::.::~.',, .~?.:. '~:~:~:~'<~>~.:~:~:~;~:~:g~:~;~:~:::::-::~>~>;:~ ~8~:~%~:~::~:~:A~:~:~:~.'.~F ~ne .___ve-n~ government r~ues~ la~ul g~bhng profis for ~e following pu~se: [explain expend~ure - a~a~ a~d~ional sheets ~ n~essa~. I Amount J By completing and signing this form, the government's aoent confirms that the requested funds will be spent for a lawful purpose. This request expires one year from the date b~low a~d rnay be renewed at the request of the Iocal goveming body. Slgn~lur of go~mmen! agent Title Daze . Pgn~ name / / Use of Form: 1. If an organization wishes to contribute gambling funds to a governing body, the governing body must complete this form. 2. AoorovaJ of the Gambllnq Control Board Is not requlred 3. The form should be kept on file by the licensed organization. 4. ,~ttach a Co~¥ of this form to your Schedule C ~epor~ for the month In which the funds are spent,