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<br />Attachment A <br /> <br />FY04 Urban Areas Security Initiative - Aeplication Cover Sheet <br /> <br />Applicant: <br /> <br />Core City / Transit Agency <br />Contact Information: <br /> <br />Authorized Agent Mailing Address <br /> <br />Name/I'ltle <br /> <br />Area Code/Ojfice Telephone Number <br /> <br />City, State, Zip Cade <br /> <br />E-Mail Address <br /> <br />Maximum Amount Allocated (see page 7 of this Guide) $ <br /> <br />Total Amount Requested (as shown on the Project Narrative and Budget Worksheet) $ <br /> <br />Certification and Signature of Authorized Agent <br /> <br />1 am the duly appointed Authorized Agent ond have the authority to apply for this grant and submit this application on behalf <br />of the Core City / Transit Agency. By signing below, 1 hereby certify that the enclosed application represents the consensus <br />of the Core City, Core County, Transit Agency, and/or the Urban Area Working Group, as appropriate. <br /> <br />Printed Name <br /> <br />Signature of Core Clty/1'ranslt Agency Authorized Agent <br /> <br />Date <br /> <br />Title <br /> <br />Signature of Core County Point of Contact <br />(neededfor Urban Area applications only) <br /> <br />Printed Name <br /> <br />Title <br /> <br />Date <br /> <br />'Ii';{ <br /> <br />"'''''"l'_'ii> <br />:r~~~:,:" <br /> <br />Jt~abb tec"jewedi(Jrlllit~wardliPPI'/iI\riii!lb)'; <br />6rlW Pe~~'Plaried: <br />,Clll~"Jm # <br /> <br />N_,i <br /> <br />~. <br /> <br />C~ta!ll$ of!1eOOJillill!~e b$sis~l;O.#!lI1illtl$ Al1\<iIJ'll;# <br /> <br />FY04 Urban Areas Security Initiative <br /> <br />Page 67 <br />