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<br />Application for Funding Assistance <br />Florida Department of Law Enforcement <br />Justice Assistance Grant - Direct <br /> <br />I," ' <br /> <br />"d,_:,_,.::._':_,.:_., <br /> <br />C:;,::;::~;~:/)-:_ <br />- ""--J) <br /> <br />-,' .:-:- ....,.' <br />':j\:Nj:J\~,~;;~',i;':,-:~~_'~:~\:f/i: :':-- .- --., <br /> <br />.t3-":;," <br /> <br />:--_::>-::;,~ <br />,;~,>::,'~-, <br /> <br />" !~4~jti'ii~.(_ <br /> <br />:':,','2<__'>:0,_ <br /> <br />In witness whereof, the parties affirm they each have read and agree to the conditions set <br />forth in this agreement, have read and understand the agreement in its entirety and have <br />executed this agreement by their duty authorized officers on the date, month and year set <br />out below, <br /> <br />Corrections on this page, including Strikeovers, <br />whiteout, etc. are not <br /> <br /> <br />Signature: <br /> <br />Typed Name and <br /> <br />Date <br /> <br />~~" ",,'. .:""~~.~,t(gQ~~'~~J~fi,~~\~~~~iiWt~tit~l~~li~~t,,,.' <br /> <br /> <br />Typed Name and <br /> <br /> <br />Date <br /> <br />Signature: <br /> <br /> <br />Typed Name of Implementing <br />Signature: <br />Typed Name and <br />Date <br />