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Grant Coversheet Form - 1. ENTER the legal name of the organization: 12. a) ENTER the Authorized OffICial Information: City of Paris Title (Mr., Ms., Dr., Judge, etc.): Mr. 2. ENTER the title of the project: Name: Larry Shaw Red River Valley Drug Task Force Position: Interim City Manager 3. ENTER the division or unit to administer the project: Address: P.o. Box 9037 Police Department City/StatelZip: Paris Texas 75461 4. ENTER the agency's §tate Payee Identification Number: Telephone: 903785-7511 x.201 Fax: 903 785-8519 1-7560006359000 E-mail: J shaw@ci. paris. tx. us 5. a) Is the applicant organization delinquent on any b) ENTER the Project Director Information: No .... State or Federal debt? (SELECT One): Title (Mr., Ms., Dr., Judge, etc.): Chief b) ENTER the date of the last audit: 11/7/2001 Name: Karl Louis c) ENTER the agency fiscal year: Oct. 1-Sept. 30 Position: Chief of Police 6. SELECT the funding source: Address: P.o. Box 9037 Byne Formula Grant Program (federal CFDA-16.579) ....1 City/StatelZip: Paris Texas 75461 7. ENTER the grant period (ex: mmlddlyyyy): Telephone: 903785-7511 x 239 Fax: 903 737-4142 From: 6/1 /2004 To: 5/31 /2005 E-mail: k louis@ci.paris.tx.us 8. ENTER the current grant number if a continuation project: c) ENTER the FInancial Officer Information: 1 3854-06 Title (Mr., Ms., Dr., Judge, etc.): Mr. 9. Budget Information (figures filled in 'rom Budget Form): Name: W.E. Anderson CJD Funds Cash Match In-Kind Total Position: Director of Finance $760,250 $197,669 $0 $957,919 Address: P.o. Box 9037 10. a) Is this a local or regional project? (SELECT Yes .... City/StatelZip: Paris Texas 75461 One): b) If you marked 'Yes', for Step 10. a); is this Telephone: 903.785-7511x241 Fax: 903 785-8519 application subject to a regional COG prioritization No .... process? (SELECT One): E-mail: Q anderson@ci. paris. tx. us c) If you marked 'No', for Step 10. a) or b) ; then is 13. SELECT your organization type based on the list of eligible applicants this application subject to the State's TRACS process No ....1 by fund source: I pursuant to 1 T.A.C. §§5.191-5.253? (SELECT I One): City .... d) If you marked 'Yes' for Step 10. a), SELECT the regional COG in 14. a) SELECT the headquarters county: I Lamar ....1 which this project is geographically located: Þlk-Tex Council Of Governments - Region OSOO ~ul b) LIST the cities and counties within the service area: 11. a) Is this grant application is response to a Cities of Paris, Bonham, Sulphur Springs, Mt. Vernon, Emory, and Request for Applications (RFA) as published in the No .... Cooper, and counties of Lamar, Fannin, Hopkins, Franklin, Delta, and Texas Register? (SELECT One): Rains. b) If you marked 'No', ENTER the name of the CJD Judy Switzer staff member that you contacted for submission: 15. FOR COG USE ONLY a) Is this application shared with another COG? (ENTER "Yes" or "No"): b). CPTN .:,.- -'I I d) COG Application 10: " '."ò' >'+'/,; c) PrioñfY#:-' Page 1 of 1 Coversheet Fonn