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<br /> I <br /> Attachment B <br /> , <br />, FY05 Santa Ana VAS I 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 (PaC): <br /> Title: I <br /> Address: <br /> Phone: <br /> E-Mail: <br /> FY05 VAS I Project Name: <br /> Amount Requested: <br /> A detailed description of the item(s) or service(s) being requested must be attached to this <br /> request using the Description Page. This description should also include a detailed list of all <br /> costs associated with the request. <br /> Submitted By: <br /> (Authorized Agency Representative) <br /> Title: <br /> Signature Date <br /> For UASI Use Only <br /> Request Reviewed By: <br /> Recommended For Approval: DYes DNo <br /> Amount Authorized <br /> Requesting agency not to exceed this amount. <br /> Authorized by: Paul M. Walters Chief of Police <br /> Signature Date <br /> Page 1 <br />