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1. For CJD Use Only <br />3. a. Date Submitted : b. Applicant Identifier <br />2, Federal/Stale Program Classification (For CJD Use Only) <br />4. a. Date Received by State/COG b. State Application Identifier <br />5. Applicant Information <br />a. Legal Name: <br />' <br />c. Organizational Unit <br />..................................................................... ............................... _ <br />b. Address (give street or P. O. Box, city, county, state, and zip code) <br />......... <br />...... ................... ............................... ..._.................... ........... <br />d. 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 <br />7. Type of Applicant (enter the appropriate letterin box) <br />A. State H. Independent School District <br />B. County I. State Controlled Institutionof Higher Learning <br />8. Type of Application: <br />C. Municipal J. Private University <br />❑ New ❑ Continuation ❑ Revision <br />D. Township K Indian Tribe <br />If Revision, check appropriate box(es). <br />E Interstate L. Individual <br />F. Intermunicipal M. Nonprofit Organization <br />❑ Increase Award ❑ Other (specify) <br />G. Special District N. Other (specify): <br />❑ Decrease Award <br />9. Name of Grantor Agency: <br />❑ Increase Duration <br />Office of the Governor, Criminal Justice Division <br />❑ Decrease Duration <br />P. O. Box 12428 <br />Austin, Texas 78711 <br />10. Catalog of Federal Domestic Assistance Number <br />11. Title and Brief Description of Applicant's Project: <br />Check One (federal funding sources only): <br />❑ 16.540 — Juvenile Justice i£ Delinquency Prevention Act <br />❑ 16.575 — Victims of Crime Act <br />❑ 16.579 —Texas Narcotics Control Program <br />12. Areas of Project Activities (Cities, Counties, States, etc.) <br />13. Proposed Project: <br />14. Program Focus <br />Start Date: I Ending Date <br />a. Check all that apply: <br />' b. Check One: <br />f <br />❑ Violent Crime ❑ Drugs ❑ Gangs ❑ Victims ❑ Juvenile ❑ Non - juvenile <br />15. Requested Funding: <br />16. Is application subject to review by state executive order 12372 process? <br />a. Federal Grant ; $ .00 <br />Funds (CJD) i <br />.................. ......................................... ............................... <br />❑ YES, this application was made available to the Texas Review and Comment <br />System (TRACS) for review on <br />b. State Grant $ .00 <br />Funds (CJD) i <br />$...................................... <br />(date) <br />.............................. ............................... <br />i <br />❑ NO. C] Program is not covered by E. O. 12372 <br />c. Cash Match S .00 <br />❑ Program has not been selected by state for review <br />i <br />d. In-Kind $ .00 <br />(VOCA Only) <br />17. Is the applicant delinquent on any federal debt? <br />s <br />1 <br />..................... ............................... <br />❑ YES If "Yes" attach an explanation ❑ NO <br />e. TOTAL .00 <br />f <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 <br />assurances if the assistance is awarded. <br />a. Typed Name of Authorized Official <br />i b. Title :c. Telephone Number <br />Michael E. Malone <br />City Manager (903) 785 -7511 <br />............. --- ................ _.......................... <br />d. Signature of Authorized Official <br />......... __..._......�._W_�_.._.. -- - - - -- <br />: e. Date Signed <br />February 10,199 <br />