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Vie- <br />GREATER TRIANGLE COMMUNITY FOUNDATION <br />1991 DISCRETIONARY GRANTS <br />Application Form <br />Please complete and return with narrative proposal and attachments by February 1, 1991. <br />1. Date of application > Z, � <br />�2. Name of applicant organization C I L/r,, I. .r") "C '. )C /. lf <br />r 1.7�C -e e-v . r Address <br />� J <br />lj)►�.`� Vi� �- �' u :^ Y � / // c <br />Telephone <l - 7 3 Z <br />3. Contact person for information on <br />this proposal <br />Title <br />Telephone <br />3 <br />4. Summary description of the project (do not exceed space provided) ' 4 1,> <br />6e IDt1,..7tit veI F,rc 'lz>eei- ,v � <br />Pfc�ti:k' 1'1tiG[� \�C..S u� �+..� e4,S�rlGF <br />ez�, e FF,e �e.,-t ly ar, 0551�C+�E • 11y11 81-4-.r[l OF Owe, 40 -, Fee l +Inx+ <br />l,*'%CCCE.siwij <br />Lf Q� L vr�� c+oS i����► -, tKe <br />l r 1 , 1 1 r c:e,1�,;). r;ie <br />v'ejpt,j S (s,� S <br />19056AA-1 6avc/ I.-dr$, <br />5. Total cost of project $ 1 1.00 <br />6. Sources of funds for this project <br />Funding Source <br />Greater Triangle Community Foundation <br />Other Sources <br />Total (should equal line 5) <br />Total Amount <br />Amount Sought Already Committed <br />$ 15'2 1. G U (Not to exceed $5,000) <br />7. Applicant agency's overall annual operating budget <br />8. Timetable for the project i �� q I to I z J -, /F1 <br />Mon ear Monih/Year <br />(Note: Funds will not be available before June 15, 1991) <br />$_1511u[s <br />$ 30 <br />