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<br />Attachment A <br /> <br />FY04 Urban Areas Security Initiative - A~lication Cover Sheet <br /> <br />Applicant: <br /> <br />Core City / Transit Agency <br /> <br />Contact Information: <br /> <br />Authorized Agent Mailing Address <br /> <br />Name/Title <br /> <br />City, State, Zip Code <br /> <br />Area Code/Office Telephone Number <br /> <br />E-Mail Address <br /> <br />Maximum Amount Allocated (see page 7 of this Guide) $ <br /> <br />Total Amount Requested (as shown on the Project Narrative and Budget Worksheet) $ <br /> <br />Certification and Signature of Authorized Agent <br /> <br />1 am the duly appointed Authorized Agen/ and have the authority to apply for this grant and submit this application on behalf <br />of /he Core City / Transit Agency. By signing below, 1 hereby certify that the enclosed application represents the consensus <br />of/he Core City, Core County, Transit Agency, and/or the Urban Area Working Group, as appropriate. <br /> <br />Printed Name <br /> <br />Signature of Core City/rransit Agency Authorized Agent <br /> <br />Date <br /> <br />Tille <br /> <br />Signature of Core County Point of Contact <br />(neededfor Urban Area applications only) <br /> <br />Printed Name <br /> <br />Title <br /> <br />Date <br /> <br />. <br /> <br />AJ'l]l1icatlon reviewedlCJrllUt award approved by: <br /> <br /> <br />N~tne' <br /> <br />11,10 <br /> <br />l'>tlll11 Pet1'Olmance Poriod: <br /> <br />OIlS lD # <br /> <br />Catalog of Fede,.1 IDomes!:ic Assistance ,#97,008 " ." ~ <br /> <br />,. <br /> <br />FY04 Urban Areas Security Initiative <br /> <br />Page 67 <br />