Cities Index.
Attachment 2

Burbank City Council
June 25, 2024

Document
Attachment 2
Meeting
June 25, 2024
Body
Burbank City Council
Original file
16.9 MB
Text extracted from the city's file for reading and search. Open the original on burbank.granicus.com. That file is the official record.

ATTACHMENT 7 {SITE SUMMARY)
Program Services: TITLE III c.1 PROGRAM SERVICES (CONGREGATE MEAL SERVICES) Fiscal Year: 2024-25
Subaward Number: [Enter Subaward Number]
Subrecipient's legal Name: [Enter Legal NameJ
[Enter Address]
Main Administrative Office Address
[Enter Address]
Mailing Address (if differentfrom above)
Mr./Ms. [Enter Name] [Enter Title]
Prefix Authorized Representative Job Title
Mr./Ms. [Enter Name] [Enter Title]
Prefix Primary/Secondary Contact for Program Job Title
[Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] {Enter Nama] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [EnterNur;,nber] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address} [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address) [Enter Number] [Enter Name] [Enter Number] [Enter Site Name] [Enter Address] [Enter Number] [Enter Name] [Enter Number] Note 1: Use the following info1TT1ation to complete thls section:

Note 2: Ente:rth,i;-daysandhoursofoperat!onduringwhichthe siteisopenforbusiness.

Note 3: Enter th(! days and hours during which ttie site serves meiilsfor breaktilst. If the site does not provide brcilkfast then enter uNotApptlcable" cr"N/A".

Note 4: Enter the days and hours chuingwhlch the sltes�tves meals for lu;ich. if the site does not provide tuns;h then enter"NotApplicahte11 or "NIA".

Note 5: Enter the days and hours during which the site serves meaisfordlnner. If the sits does not provide dinner then enter "Not Applicable" or "NIA". [Enter City]
City
[Enter City]
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[Enter Number]
Phone Number
[Enter Number]
Phone Number
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[Enter Slate] [Enter Zip Code]
Slate Zip Code
[Enter State] [Enter Zip Code]
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State Zip Code
[Enter E-mail]
E-Mail Address
[Enter E-mail]
E-Mail Address

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