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AdIbL Automobile Buglary & Theft Prevention Authority — <br />-A <br />Application for State Assistance ,L-Kas L%CpaM1Cn1L Of MowrVefficies <br />H6lPIF'G TE.wN86b NGtDiFL1 TGXAGGATY <br />Program has not been selected by state for review <br />vo NO <br />9. Funding Summary: <br />Total State Grant Funds Requested (ABPTA) $145,194 <br />Cash Match: $40,295 <br />In -Kind Match: $1,000 <br />Total: $186,489 <br />10. Is the applicant delinquent on any federal debt? <br />YES If "YES" attach an explanation NO <br />11. To the best of my knowledge and belief, all data in this application is true and correct. The document has <br />been duly authorized by the governing body of the applicant and the applicant will comply with the <br />attached assurances if the assistance is awarded. <br />a. Authorized Official: John Godwin <br />b. Title: City Manager <br />C. Telephone Number. 903- 785 -7511 <br />Signature of Authorized Official Date <br />04/20/2015 Page 2 of 2 <br />