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985 <br />a r A ' Texas Department of Public Safety <br />Pursuant to Article 2.137 of the Code of Criminal Procedure, the Texas Department of Public Safety <br />( "DPS') is accepting applications from law enforcement agencies that are requesting fiords for video and <br />audio equipment. <br />Please complete this application and questionnaire, and return to DPS. All applications must be received <br />by DPS or post - marked with the proper DPS address by January 31, 2002. <br />DPS will evaluate the applications and notify the applicants accordingly. <br />The information requested below will be required in order to properly distribute funding. Each question <br />should be answered as accurately as possible. If you have any questions pertaining to this application or <br />questionnaire, feel free to contact our office at 512- 424-2064, or 512-424-2514. <br />Application for Funds SB 1074 , Video Camera and Recording Equipment <br />Agency Information Contact Information <br />Name: <br />Address: <br />City, State, Zip: <br />County: <br />Phone: <br />Fax: <br />E -mail: <br />Name: <br />Address: <br />City, State, Zip: <br />County: <br />Phone: <br />Fax: <br />E-mail: <br />State / Federal Payee Identification Number: <br />Source of Funds <br />HJR 97 Constitutional Amendment <br />General obligation bonds for repair projects and <br />purchase of needed equipment. <br />SB 1074 77'h Legislature <br />Administering Agency: <br />Texas Department of Public Safety <br />This agency does not request funding under the provisions of SB 1074 <br />This agency does request funding under the provisions of SB 1074 <br />r <br />Date Awarded: <br />Date Request Submitted: <br />Date Denied: <br />EXHIBIT A <br />