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EXHIBIT D • <br />Anaheim and Santa Ana Urban Areas Security Initiative <br />Reimbursement Request for Grant Expenditures <br />Mail Reimbursement Request To: ~ This is the final reimbursement request. <br />FYO~ UASI Grant Program, FI'10'LJASiGrant'Program <br />Sgt. Enrique Esparza, Grant Coordinator Cindy Nickel, Grant Fiscal Coordinator <br />Santa Ana Police Department Anaheim Police Department <br />Homeland Security Division East Station-Homeland Security Bureau <br />60 Civic Center Plaza-P.O. Box 1981 425 S. Harbor Boulevard <br />Santa Ana, CA 92702 Anaheim, CA 92805 <br />Agency/ City Requesting Reimbursement <br />Pa roll Total (Salaries, Overtime, Backfill, etc) <br />Travel Total (Tuition, Meals, Lodging, etc) <br />E ui ment & Sup lies Total <br />Total Amount Re uested - <br />Under Penalty of perjury, I certify that: <br />I am the duly authorized officer of the claimant herein. This claim is in all respects true, correct, and all <br />expenditures were made in accordance with applicable laws, rules, regulations, and grant conditions and <br />assurances. All attached documents for items and/or services have been received in full. <br />Doug Doyle <br />Authoriaed,Agent.:, '. <br />949-461-3541 <br />Printed Name <br />Chief of Police Services <br />Title <br />25550 Commercentre Dr., ~~100 <br />Mailing Address <br />Lake Forest, CA 92630 <br />City, State, Zip Code <br />Phone Number <br />ddoyle@ocsd.org <br />E-Mail Address <br />949-461-3549 <br />Fax Number <br />Signature (Please sign in blue ink) Date <br />For Anaheim/Santa Ana UASI'Grant Coordinator Use Onl <br />A roved for Processin Date <br />Account and Activity Number <br />Grant Year/Grant Project and Solution Area <br />Special Instructions/Comments <br />38 <br />