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<br />Attachment A
<br />
<br />FY04 Urban Areas Security Initiative - Acplication Cover Sheet
<br />
<br />Applicant:
<br />
<br />Core City / Transit Agency
<br />Contact Information:
<br />
<br />NamelTltle
<br />
<br />Autharlzed Agent Mailing Address
<br />
<br />City, State. Zip Code
<br />
<br />Area Code/OjJIce Telephone Number
<br />
<br />E-Mail .Address
<br />
<br />Maximum Amount Allocated (see page 7 of this Guide) S
<br />
<br />Total Amount Requested (as shown on the Project Narrative and Budget Worksheet) S
<br />
<br />Certification and Signature of Authorized Agent
<br />
<br />I am the duly appointed Authorized Agent and have the authority to apply for this grant and submit this application on behalf
<br />of the Core City / Transit Agency. By signing beluw, J hereby certify that the enclosed appltcation represents the consensus
<br />of the Core City. Core County. Transit Agency, and/or the Urban Area Working Group, as appropriate.
<br />
<br />Signature of Core CltylTransit Agency Authorized Agent
<br />
<br />Printed Name
<br />
<br />Title
<br />
<br />Date
<br />
<br />Printed Name
<br />
<br />Signature of Core County Point of Contact
<br />(needed for Urban Area applications only)
<br />
<br />Title
<br />
<br />Date
<br />
<br />
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<br />
<br />FY04 Urban Areas Security Initiative
<br />
<br />Page 67
<br />
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