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f <br /> <br /> APPLICATION FORM - GENERAL INFORMATION <br /> <br />TEXAS RECREATION'& PARKS ACCOUNT SM. ALL GRANTS pROGRAM <br /> <br />APPLICANT: <br /> A. 'Contact PerSon: <br /> <br /> B. Address: <br /> <br />Teery. Townsend/City of Paris <br /> <br />P.O. Box 9037 <br /> <br /> C. City/State/Zip: <br /> <br /> D. Phone/E-Maik <br /> <br /> E. Federal Tax Idcntificati0n Code: <br /> <br />Il. PRO~ECT NAIvflE: He~i~as~e Park <br /> <br />HL POLITICAL DtSTP. ICTS: <br /> A. Staie LegiS!ati/'e Districts: <br /> B. Federal Congr~ssionalDistfict: 1 <br /> <br />IV, APPLICANT MATCHING SHARE: <br /> A, Applicant Funds <br /> <br /> B. Applicant Labor, Equipment, Materials <br /> C. Donations of Cash . <br /> <br />Paris, Texas 75461 <br /> <br />903L784-9289/ccowns@lstaruet.com <br /> <br /> 756000635 <br /> <br /> 1 2 <br />Senate: House: <br /> <br />CosffValu¢ <br /> <br />$ 50,000;00 <br /> <br /> D. Donations of Labor, Equipment, Materials $ <br /> <br /> E. TOTAL LOCAL APPLICANT SHARE (lines IV. A-D) $ 50,000. oo <br /> To the beat of my knowledge and belief, all documentation in this application is h'uc and correct, the applicatioa has <br />' been duly authorized by thc governing body of the applicant, and the applicant agrees to comply with all program roles <br /> and procedures if grant assistance is awarded. <br /> <br />March 26, 2001 <br /> <br />Date <br /> <br />Signature of Official Authorized in Resolution <br /> <br />Michael E. Malone, City ManaRer (903) 7857511 Ext 201 <br />Typed Name, Title, and Telephone Number <br /> <br />KXHIBIT A <br /> <br /> <br />