Board of Finance Budget Hearing Agenda (linked)

FY22
BUDGET REQUEST
WATERFORD/EAST LYME
SHELLFISH

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TOWN OF WATERFORD
15 Rope Ferry Road
Waterford, CT 06385
860-442-0553
ata DOOR SES ATEN
ORGANIZATION NAME: babies A~Sast Lyne Shul Ay lf eh (J Mysslan C WELS co)
REQUEST DATE (FISCAL YEAR): AZ|
REQUESTED AMOUNT: £$S0MD.09
BENEFIT STATEMENT (Describe how these funds will be used)
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per Town of Waterford Budget Guidelines: please attach a certified audit report of all funds
appropriated during the last com pleted fiscal year to your funding request.
DECLARATION
1, the requester, understand that lam requesting public funds from the Town of Waterford.
1 declare that this request does not pose any potential conflict with the Town of Waterford
and | will provide any documentation requested by the Town of Waterford to authorize
funding this request or review the appropriateness of the request.
LEB ah A Lee 20%
Signature Date
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