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Fee Waiver BOS Summary Sheet Submitted to Finance on October 24, 2023 Permits Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type P1-Oct-23 St John Institutional Baptist Church Inc St John Institutional Baptist Church $ 650.00 1428 S. 13th Ave., Phoenix, AZ 85007 FD-38379 E & D 10+ Seating P1-Oct-23 Total $ 650.00 P2-Oct-23 Community Christian Church Community Christian Church $ 650.00 1701 S. College Ave., Tempe, AZ 85281 FD-16651 E & D 10+ Seating P2-Oct-23 Total $ 650.00 P3-Oct-23 Stand Together & Recover Inc S.T.A.R. $ 100.00 77 E Columbus Ave. Ste. 214, Phoenix, AZ 85012 FD-26704 Adult Daycare P3-Oct-23 Total $ 100.00 P4-Oct-23 Society of St. Vincent de Paul St Mary Basilica Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18224 Food Jobber P4-Oct-23 Total $ 255.00 P5-Oct-23 Northminister Food Bank Northminister Food Bank $ 260.00 13001 N. 35th Ave., Phoenix, AZ 85029 FD-28623 Food Bank P5-Oct-23 Total $ 260.00 Total Permits $ 1,915.00 Food Employee Training Classes Item # Administrative Name Business Fee Used Administrative Address Certificate Type Date Used C2-Apr-23 Phoenix Union High School District The Academies at South Mountain High School $ 130.00 5401 S. 7th Street, Phoenix, AZ 85040 Culinary 9/13/2023 C2-Apr-23 Total $ 130.00 C1-Aug-23 Phoenix Union High School District Camelback High School $ 195.00 4612 N. 28th St., Phoenix, AZ 85016 Culinary 9/6/2023 C1-Aug-23 Total $ 195.00 C1-Oct-23 Paradise Valley Unified School District Shadow Mountain High School Pathways Transitional Program $ 162.50 2902 East Shea Blvd., Phoenix, AZ 85028 Culinary 9/1/2023 C1-Oct-23 Total $ 162.50 C2-Oct-23 Cougar PTO Cougar PTO $ 260.00 3201 W. Sherman Street, Phoenix, AZ 85009 Volunteer 9/21/2023 C2-Oct-23 Total $ 260.00 Total Classes $ 747.50 Grand Total $ 2,662.50 An alphanumeric item # is used above The first digits indicate the item number as it originally appreared on the summary sheet The middle letters indicate the month of the BOH meeting The last two digits indicate the year of the BOH meeting Page 1 of 1