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Attachment B <br />FY05 Santa Ana UASI Allowable Purchase Pre - Approval Form <br />FY05 UASI Grant # 2005 -15, OES # 59 -69000 <br />Page 1 of 2 <br />Requesting Agency: Agreement #: <br />Point of Contact (POC): <br />Title: <br />Address: <br />Phone: <br />E -Mail: <br />FY05 UASI Project Name: <br />Amount Requested: <br />A detailed description of the item(s), service(s) or training being requested must be attached <br />to this request using the Description Page. This description should also include a detailed <br />list of all costs associated with the request. <br />Submitted By: <br />(Authorized Agency Representative) <br />Title: <br />For UASI Use Only <br />Request Reviewed By: <br />Recommended For Approval: ❑ Yes ❑ No <br />Amount Authorized <br />Requesting agency not to exceed this amount. <br />Authorized by: Paul M. Walters Chief of Police <br />Date <br />Page I <br />