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19D - CONSOLIDATE PERFORM EVAL REPORT
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09/19/2017
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19D - CONSOLIDATE PERFORM EVAL REPORT
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Last modified
9/15/2017 12:46:03 PM
Creation date
9/15/2017 1:04:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
19D
Date
9/19/2017
Destruction Year
2022
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CR -60 - ESG 91.520(g) (ESG Recipients only) <br />ESG Supplement to the CAPER in a -snaps <br />For Paperwork Reduction Act <br />1. Recipient Information—All Recipients Complete <br />Basic Grant Information <br />Recipient Name SANTA ANA <br />Organizational DUNS Number 083153247 <br />EIN/TIN Number 956000785 <br />Indentify the Field Office <br />Identify CoC(s) in which the recipient or <br />subrecipient(s) will provide ESG assistance <br />ESG Contact Name <br />Prefix <br />First Name <br />Middle Name <br />Last Name <br />Suffix <br />Title <br />ESG Contact Address <br />Street Address 1 <br />Street Address 2 <br />City <br />State <br />ZIP Code <br />Phone Number <br />Extension <br />Fax Number <br />Email Address <br />ESG Secondary Contact <br />Prefix <br />First Name <br />Last Name <br />Suffix <br />Title <br />Phone Number <br />Extension <br />Email Address <br />LOS ANGELES <br />Santa Ana/Anaheim/Orange County CoC <br />Mr <br />Judson <br />J <br />Brown <br />nOusingotymanager <br />Ci220 Civic Center Plaza, M-26 <br />Santa Ana <br />CA <br />92701- <br />7146672241 <br />0 <br />7146476549 <br />jbrown@santa-ana.org <br />2. Reporting Period—All Recipients Complete <br />OMB Control No: 2506-0117 (exp. 06/30/2018) <br />X110 <br />1901-33 <br />27 <br />
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