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Appficatton for Federal Assistance SF-424 <br />16. Congressional DEsbicts Of: <br />' a. Applicsnl TX-o4 b. Program/Projecl ~_pq <br />Attach an addiiional list of Program/Project Congressional Districts ii needed. <br />congressional dist addtl. docx I Add Attachmeni ~Delete Attachment View Attachmen; <br />17. Proposed Project: <br />' a. S18A Rate: 06Jo4/2o12 ' b. End Date: 06/30/2015 <br />18. Estimated Fundittg (E): <br />• a, Federal 715, 000. 00 <br />' b. App}icanl 1,047,143,001 <br />' c. State 0. 00 <br />• d. local 0. QO <br />' e. Olher 0.00 <br />' 1. Program Income 0.001 <br />'g.70TAL 1,762,143.00 <br />'!9. Is App)icatian Subject to Revfew By State Under ExecuNve Order 12372 Process9 <br />Fl a. This application was made available to the State under the Executive Order 12372 Qrocess for review on <br />E] b. Program is subject to E.O. 12372 but has not been selected by the State ior review. <br />Q c. Program is not covered by E.O. 12372. <br />` 20. Is the Applicant Dellnquent On Any Federal Debt? (If "Yes," provide expfanatlon in attachment.) <br />r-I Yes QX No <br />If "Yes", provicie explanatian and attach <br />Add Attachment Detete Attachment yiew AttaChment <br />21. •By signing thTs application, ! certlfy (i) to the statemenb contalned fn the list of certifications•" and (2) that the statements <br />berein are true, complete and accurale to lhe best of my knowledge. 1 also provide the requfred asaurances" and agree to <br />comply with any resulting terms if 1 accept an award. I am aware that any false, fictitious, or fraudulent statements or cisims may <br />subject me to criminal, civil, or adminislrative penalHes. (U.S, Code, Tide 218, Section 1001) <br />X " 1 AGREE <br />" The list of cerlificalions and assurances, or an inlemet site where you may obtain thfs lisi, is conWined in the announcement or agency <br />specific instructions. <br />Authortzed Representetlve: <br />Preflx: W7777 ' First Name: St eve <br />M+ddle Name: <br />' last Name: Gilbert <br />Suffix: <br />"TiHe: Executive Director <br />•TelephoneNumDer: 903-784-6964 FauNumber: 903-7e4-2503 <br />'Email: parisedc@paristexasusa.com <br />7SI91lature of Aulhorized Representative: Compietee ey Grana.gov upon submiseion. • DBIe Signed: Completed by Granb.pov upon submiss~on. <br />