Laserfiche WebLink
EXHIBIT D <br />Anaheim and Santa Ana Urban Areas Security Initiative <br />Reimbursement Request for Grant Expenditures <br />Mail Reimbursement Request To: <br />This is the final reimbursement request. <br />Fx09 jJASI Grant Program ,~ <br />~. <br />Sgt. Enrique Esparza, Grant Coordinator <br />Santa Ana Police Department <br />Homeland Security Division <br />60 Civic Center Plaza-P.O. Box 1981 <br />Santa Ana, CA 92702 <br />CA 92805 <br />~ Agency/City Requesting Reimbursement TUSTIN POLICE DEPARTMENT <br /> <br />Pa oll Total Salaries, Overtime, Backfill, etc <br />Travel Total (Tuition, Meals, Lod in ,etc) <br />E ui ment & Su 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 />authorized Agent 1' <br />JON CARTWRIGHT (714) 537-3220 <br />Printed Name Phone Number <br />SERGEANT JCARTWRIGHT@tustinca.org <br />Title E-Mail Address <br />TUSTIN POLICE DEPARTMENT (714) 730-8027 <br />Mailing Address 300 CENTENNIAL WAY Fax Number <br />TUSTIN, CA 92780 <br />City, State, Zip Code ~ l <br />I <br />Signature (Please sign in b u ink) <br />Fl'IO U~SI Grant Program , <br />Cindy Nickel, Grant Fiscal Coordinator <br />Anaheim Police Department <br />East Station-Homeland Security Bureau <br />425 S. Harbor Boulevard <br />~. ~-~L~ <br />Date <br />For Anaheun/Santa Ana UAS <br />Grant Coordinator Use Only ' <br />Date <br />Account and Activity Number <br />Grant Year/Grant Project and Solution Area <br />Instructions/Comments <br />38 <br />