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<br />I <br />DESIGNATION OF GRANT OFFICIALS <br /> <br />CJD rules require that three persons be designated to the positions of Authorized Official, Project Director, <br />and Financial Officer for the purposes of administering a grant. The Project Director and the Financial <br />Officer may not be the same person but, under extenuating circumstances, one person may otherwise fill <br />two positions. In accordance with the criteria and definition of responsibilities set forth in the Grant <br />Application and Administration Guidelines governing submission of this application, the following <br />designations are made: <br /> <br />APPLICANT: <br /> <br />- <br />PROJECT TITLE: <br /> <br />o Mr. 0 Ms. <br />Project Director (Type or Print) <br /> <br />o Mr. 0 Ms. <br />Financial Officer (Type or Print) <br /> <br />Title and Agency <br /> <br />Title and Agency <br /> <br />Organization's Address (Street or P. O. Box) <br /> <br />Organization's Address (Street or P. O. Box) <br /> <br />Ctty <br /> <br />Zip <br /> <br />Ctty <br /> <br />Zip <br /> <br />Telephone Number <br /> <br />Telephone Number <br /> <br />Fax Number <br /> <br />Fax Number <br /> <br />o Mr. 0 Ms. <br />Authorized Official (Type or Print) <br /> <br />Tttle and Agency <br /> <br />Organization's A!ldress (Street or P. O. Box) <br /> <br />Ctty <br /> <br />Zip <br /> <br />r <br /> <br />Telephone Number <br /> <br />Fax Number <br /> <br />CJD.16 <br /> <br />Issued 10194 <br />