Board of Selectmen - 444 (02/02/2021)

FY22
BUDGET REQUEST
WATERFORD/EAST LYME
SHELLFISH

—
ioe
TOWN OF WATERFORD
15 Rope Ferry Road
Waterford, CT 06385
860-442-0553
oncanzanonnane: — Lielirford fact Luna Shalfsh fomnvssin (IE LSCO)
REQUEST DATE (FISCAL YEAR): 
GAZI
REQUESTED AMOUNT: 
£SDID, 00
BENEFIT STATEMENT (Describe how these funds will be used)
una 
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Ferout Lithia,
Per Town of Waterford Budget Guidelines: please attach a certified audit report of all funds
appropriated during the last completed fiscal year to your funding request.
DECLARATION
|, the requester, understand that | am requesting public funds from the Town of Waterford.
| 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.
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