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Clerk's exhibit <br />Muting 5-14 -75 <br />GENERAL REVENUE SNARING PLANNED USE government's REPORT <br />plan is published <br />R E P O R T <br />General Revenue a provides tees* on how <br />to encourage Caen participation in determining your ggyetryMm s tenon <br />discriminator' in the use of these Stmt may be sent to <br />the Dffioe of Nmrwen Shoring• Werth_ D.C. 20226_ <br />r. <br />106 <br />LO IOCaI and Slate governments. This report of <br />lends direcdt' the money wit <br />IA) CATEGORIES <br />pti,NNED�()L +Jeift� S <br />(C) OPERATING / <br />MAINTENANCE <br />S RECREATION <br />5 LIBRARIES <br />7 SOCIALSERVICES <br />FOR AGED OR POO <br />a FINANCIAL <br />ADMINISTRATION <br />10 EDUCATION <br />12 MONTY GDEVELOFMEN <br />13 ECONOMIC <br />DEVELOPME <br />14 OTHER iSPac <br />15 TOTALS <br />your complaints of <br />be seam Note: Any comp <br />Of LITTLE L rl. ,u.+ YIL — <br />THE 00VENNIAINT <br />ANTICIPATING A GENERAL REVENUE <br />POR PERIOD .9 t. 1975 THROUGH JUNE 30 <br />004 <br />SHARING PAYMENT OF <br />197 THE SIXTH TO ENTITLEMENT <br />197e. PLANS TO SPEND THESE FUNDS FOR THE PURPOSES SHOWN <br />$22,290 <br />VI ACCOUNT NO. 24 2 Qb2 <br />LITTLE CANADA VILLAGE <br />VILLAGE CLERK <br />400 E LITTLE L:ArdALA RD <br />ST PAUL MINN 55117 <br />UIuLll daaUwdL13a11u (dLatdiraad(rwll.ladlyda <br />(DI Submit proposals for funding consideration by— <br />t0 -- n for Ub)IC scrvti rW <br />supporting documents. are open D <br />instruction El I assure the Secretary of the Treasury <br />tE) ASSURANCES (Rater to requirements listed in Pan E of <br />that Nil non-discrimination <br />stone cccomp hying this report wit) <br />the ydgNndns accompanying tMS report will be complied with by this recipient <br />government with respect to the entitlement funds reported hereon <br />Signature of Chief Executive Officer <br />Name & Title <br />ItiIF IVtil ftl ('tIUA li <br />THE UPPER HALF OF - lower ,. PAGE MUST form be;puhl PUBLISHED <br />(G) dP PUBLIC PARTICIPATION ;refer in /Motion GI In planning for the use of <br />GRS funds 0 Hold special public heannge on Revenue Shann99 <br />O Take local opinion 001:0 <br />O $oliot requests for fm ding of protects uSn9 revenue sharing funds from outside <br />your government admio¢uation? <br />O Discuss revenue shann9 at reguia, patine nepbngst <br />('J <br />L Appoint advisory groups of local citizens? <br />Cm <br />wingg <br />�.S <br />1925 <br />A copy o1 this report. and <br />0310 <br />IMPORTANT: it b not required that the lower half of this <br />1E1 AUDIT (refer to instruction F) <br />1 Are your General Revenue Sharing IGRS) funds audited? <br />0 Yes <br />rio <br />21f'yes. how often? 2 ears <br />0 evorY Year <br />every 2 years less than every Y <br />lHl CIVI1. RIGHTS (refer to instruction HI <br />1 Does your government foe the EEOC State and <br />Government Information' form ;EEO. a) with the U.S. <br />Employment Opportunity Commissiod <br />Yes No <br />2 n 'yes' what was the date of the last report, <br />If no answer the following question. <br />3 <br />How many persons were on your governments payroll on <br />Local <br />Equal <br />DO NOT WRITE IN THIS SPACE <br />FOR REVENUE SHARING USE ONLY <br />3 I tC t t1 t2 �; I <br />■ ! <br />March 31 19759 <br />ill PUBLICATION I Refer to instruction <br />The uppr part of this s report was puD <br />Imbed in the following newspaper <br />on <br />the stated date at a cost of <br />V Name o9 Newspaper <br />Put ..:r:.er. <br />O <br />0 <br />n <br />0 <br />O <br />to <br />M <br />a <br />0 <br />0 <br />0 <br />C? <br />-n <br />n <br />m <br />0 <br />T <br />rn <br />m <br />2 <br />2 <br />rn <br />rn <br />N <br />2 <br />2 <br />c> <br />