Reso 2001-067 - Laserfiche WebLink

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V. Required Signatures I certify that the information provided on this form is true and accurate to the best of my knowledge. I understand that prior to any grant award, the applicant must comply with all application and program requirements of the Public Safety Partnership and Community Po~lici~ng Act 1994 and other requirements of Federal ~l/aw. Law Enforcement Executive's Signature: / • ~ Date: `T ~ o j (signature of person named on the front of this form) _ ___ Government Executive's Signature: ~" ~~~ ` Date: ` f person named on t e front of this f m) ll ~ ~ School Official's Signature: ~ ~ Date: ~"r~° 7 ~-~ (signature of person named under "Partner Information" as the designated School Representative for thi grant program and the required training VI. Application Submission Instructions Please return one original and two copies of all application materials that are being submitted with this request for funding. This includes the Community Policing Information Worksheet (for first-time COPS applicants), the Budget Information forms, Assurances, Certifications, a written Retention Plan, the Memorandum of Understanding, the COPS in Schools Narrative Information, and any additional information that is required. Completed applications should be sent to: COPS in Schools Control Desk U.S. Department of Justice 1100 Vermont Avenue, NW 8th floor Washington, DC 20530 [For overnight delivery, please use 20005 as the zip code.] Note: Since an original signature is needed to process all funding requests, faxed copies will NOT be accepted. OMB Approval Number: 1103-0027 COPS in Schoals Applicatron form