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~ Foundation support <br /> - � <br /> Other private support <br /> \ ���� E C�mvemmmmwrt�m���� <br /> �� <br /> �� Federal <br /> oxvwws "oow/, xnrS <br /> COmm',o/nw State/regional(not ind � <br /> udingthinn�queo <br /> Local(not including this request) <br /> F Applicant Cash __$1500.[K!_________ <br /> G Grant Amount Requested J750. <br /> |n this application <br /> HTotal Cash Income __$2250.00 L_______ <br /> (must equal Total Cash Expenses, <br /> Item G above) <br /> 2012-13 Arts in Education Application Page Four <br /> Signatures <br /> Signature of Projkct Director Date <br /> Susan Lutz <br /> Typed or Printed Name— oJect Director <br /> Ir11/26/2012 <br /> Signature 0(/"uthorizing Official Date <br /> Wn Billings. PTSA president <br /> Typed or Printed Name—Authorizing Official <br /> INCOMPLETE APPLICATIONS WILL NOT BE FUNDED <br />