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<br />:rang Resistance Education and Training (G.R.E.A.T.) Program <br /> <br /> <br />Application <br /> <br />Application Handbook <br /> <br />.Q~~[Y..le.w.. <br /> <br />Applicant <br />J..nfQ..r.m.9..t!.9.!J.. <br /> <br />Project Information <br /> <br />Budget and <br />ErQgnHD.. <br />Attach me nts <br /> <br />A$.$..YJ.9.JJ..ç~..$......9...D...d. <br />_Ç~rl!.nç_étt.LQ.!J..$- <br /> <br />Review SF 424 <br /> <br />Submit AQQlication <br /> <br />Help/Frequently <br />A$...k~.g....Q-y'.g..$..ti.Q.n.$. <br /> <br />G..M..5.....H..Q.ffie <br /> <br />lQ.9.....Q.f.f <br /> <br />Page 1 of 2 <br /> <br />Gang Resistance Education and Training (G.R.E.A.T.) Program 2005- <br />F3064-TX-JV <br /> <br /> <br />Correspondence <br /> <br />. Switch to ... <br /> <br />Assurances and Certifications <br /> <br />To the best of my knowledge and belief, all data in this applicationfpreapplication is true <br />and correct, the document has been duly authorized by the governing body of the <br />applicant and the applicant will comply with the attached assurances if the assistance is <br />awarded. <br /> <br />Your typed name, in lieu of your signature represents your legal binding acceptance of <br />the terms of this application and your statement of the veracity of the representations <br />made in this application. The document has been duly authorized by the governing body <br />of the applicant and the applicant will comply with the following: <br /> <br />1. !\....$..$U.If'...nç.e..$. <br />2. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility <br />Matters; and Drug-Free Workplace requirements. <br /> <br />If you are an applicant for any Violence Against Women grants, this includes the <br />Certification of Compliance with the Statutory Eligibility Requirements of the Violence <br />Against Women Act. . <br /> <br />*Prefix: <br /> <br />[[Mr. <br />II <br />II!ony <br />IIN , <br />IhNilliams <br />II Suffix:"1111 <br /> <br />, <br /> <br />fii1¡ <br /> <br />Prefix (Other): <br /> <br />. <br /> <br />. <br /> <br />*First Name: <br /> <br />. <br /> <br />Middle Initial: <br /> <br />*Last Name: <br /> <br />Suffix <br /> <br />Suffix (Other): <br /> <br />*Title: <br /> <br />City Manager <br /> <br />; <br /> <br />*Address Line 1: <br /> <br />135 1st Street S.E. <br /> <br />.. .. <br /> <br />.. ..! <br />... ..... <br /> <br />Address Line 2: <br /> <br />P. O. Box 9037 <br /> <br />.. <br /> <br />*City: <br /> <br />Paris <br /> <br />,....... ........... <br />. ..- <br /> <br />: Lamar <br /> <br />. <br /> <br />.."'" ... <br /> <br />, <br /> <br />County: <br /> <br />.......... <br /> <br />"""""" <br /> <br />,........ <br /> <br />...... ........... <br /> <br />..""'.'.""'..",111 <br /> <br />*State: <br /> <br />Texas <br /> <br />*Zip Code: <br /> <br />75461 I 9037 ! <br />903 : -[?:~.~:':.'..u,u'~:' -".~.~'.§5:::::::::'.'.'u <br />903 ! -~§~== 8519 I <br /> <br />. <br /> <br />Ext: . <br /> <br />*Phone: <br /> <br />Fax: <br /> <br />b.ttps:/I grants.ojp. usdoj .gov / gmsextemal/ applicationAssurance.do <br /> <br />3/11/2005 <br />