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<br />ApPLICATION FOR STATE OR FEDERAL ASSISTANCE <br />CE OF THE GOVERNOR, CRIMINAL JUSTICI IISION <br /> <br />1. For CJD Use Only 3. a. Date Submitted b. Applicant Identifier <br />2. FederaVStale Program Classification (For CJO Use Only) 4. 8. Date Received by Stale/COG b. Slate Application Identifier <br />5. Applicant Information <br />a. Legal Name: \ c. Organizational Unit <br />.__.~.~.~._._._~-~..~_......-._..._.__..................._..._-_.-_.__....._.__._._._-_.~_.-_._---_._._._..._......_.._...-.............---...--.--.---.-.--.---.--.......... <br />b. Address (give street or P. O. Box, city. county, state. and zip code) I' Name and telephone number of the person to be contacted on matters <br /> involving this application (give area code). <br />6. State Payee Identification Number 7. Type of Applicant (enter the appropriate letter in box) U <br /> A. Stata H. Independent School District <br />8. Type of Application: B. County I. Stale Controlled Institution of Higherlearning <br /> C. Municipal J. Private University <br />D New D Continuation D Revision D. Township K Indian Tribe <br />If Revision, check appropriate box(es). E. Interstate L. Individual <br /> F. Interm,micipal M. NonprofilOrganizalion <br />D Increase Award D Other (specify) G. Special District N. Other (specify): <br />D Decrease Award 9. Name of Grantor Agency: <br />D Increase Duration Office of the Govemor, Criminal Justice Division <br />D Decrease Duration P. O. Box 12428 <br /> Austin, Texas 78711 <br />10. Catalog of Federal Domestic Assistance Number 11. Title and Brief Description of Applicant's Project: <br /> Check One (federal funding sources only): <br /> D 16.54o--Juvenile Justice & Delinquency Prevention Act <br /> D 16.575-Victims of Crime Act <br /> D 16.579- Texas Narcotics Control Program <br />12. Areas of Project Activities (Cities, Counties, States, etc.) <br />13. Proposed Project: 14. Program Focus <br /> I Ending Oat; I. ~~--~.~_. -~~._._..~~. <br />Start Date: a. Check all that apply: I. b. Check One: <br /> I. D Violent Crime D Drugs D Gangs D Victims I. D Juvenile D Non-juvenile <br /> i I. <br />15. Requested Funding: 16. Is application subject to review by state executive order 12372 process? <br />~~~'~-~~~~~-'~~1'-''''''~~~-'-'~''-----~''~~ <br />a. Federal Grant I $ .00 <br /> Funds (CJD) I. <br /> I. D YES, this application was made available to the Texas Review and Comment <br />........................................................................................................... <br /> ! System (TRACS) for review on <br />b. State Grant j $ .00 <br /> Funds (CJD) i (date) <br />..................................+........................................................................ D NO. D Program is not covered by E. O. 12372 <br /> I $ <br />c. Cash Match .00 <br /> D Program has not been selected by state for review <br />d. In-Kind I $ .00 <br /> (VDCA Only) ! Is the applicant delinquent on any federal debt? <br /> 17. <br />............... ................!... .......................... .... .................... <br />.................................T............... ........................................... ......... <br /> I D YES If "Yes" attach an explanation D NO <br />e. TOTAL .00 <br /> I <br />18. To the best of my knowledge and belief, all data in this application is true and correct. The document has been duly authorized by the governing <br /> body of the applicant and the applicant will comply with the attached assurances if the assistance is awarded. <br />a. Typed Name of Authorized Official lb. nle t T elephana Number <br />Hichael E. Malone j City Manager (903) 785-7511 <br />.._~..~~_.._.~_.__.._~_....~.~..~._._~_~_~_~_~_~~_~__._.........~~_.~_~._~~~:____~_____._._..__._._.~_.._u.~..._~..~. <br />d. Signature of Authorized Official Ie. Date Signed 10,199~ <br /> February <br /> <br />CJD-1 <br /> <br />EXHIBIT A <br />