Laserfiche WebLink
<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 />City, State, Zip Code <br /> <br />Area Code/Office Telephone Number <br /> <br />E-Mail Address <br /> <br />Maximum Amount Aliocated (seepage 7 of this Guide) $ <br /> <br />Total Amount Requested (as shown on the Project Narrative and Budget Worksheet) $ <br /> <br />Certification and Signatnre 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 below, I hereby certifY that the ene/osed application 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 City/Translt 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 />(neededfor Urban Area applications only) <br /> <br />Title <br /> <br />Date <br /> <br /> <br />,.l\olllltlolilllih'r~~ii>w.~llllllllt.llwald"~l!Rr"v.dl1>Y: <br />.!\Il.IP$~h.ce'~\llIi\;d: <br /> <br />llilril.: <br /> <br />,~ <br /> <br />:01l1Mlll It <br /> <br />~iltllll)$lof]j~11m:ll)l)tjSjfe."'Isaisl'\I~~e,,~i~~ ~.. <br /> <br />FY04 Urban Areas Security Initiative <br /> <br />Page 67 <br />