INFORMATION SR 11-07-1994 - Laserfiche WebLink

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I' t e e e t COPS FAST Ap'plication U.S. Department of Justice Office of Community Oriented Policing Services This FAST Application is for jurisdictions serving populations of under 50,000. This grant pays only for salaries and benefits of new or rehired police officers. Complete the information below, read the assurances on the back and the enclosed Certifications, and sign below. By signing this application you also acknowledge that COPS FAST hiring grants provide a maximum federal contribution of75% of the salary and benefits of each officer over three years, up to a cap of $75,000 per officer, with the federal share decreasing from year to year. 633 Indiana Avenue, NW, 3rd Floor (202) 514-2058 Washington, DC 20531 FAX (202) 514-9272 Applicant Organization's Legal Name J:::. ( K -R; V ~ r Po I ~ c.e ~. Law Enforcement Executive's Name Ihr::.W\qS j) . Lere....Jo.. S. pr':) 1;(' e C h; e..r Address I 30"~ 0 r 0 IV 0 P t?. r ~ yY a. "" ' City ~ It( f2...lver- State ( /IV) J J. Zip Code S S 330 Telephone I:" 61 d. - L{I.//- ;;3;). L.{ FAX /- ~ l~ - i./I.//- gq 37 Government Executive's Name P (\ -1-r; c..k t=;:J a~ rS Address l..3.o.b~ nrt;;:;)jo.Jn Po..rkc.....L~ . City ~/"" ~;~ec:.., State . /VIr.! Zip Code _~~.33o Telephone t - bl ;J - l.fL/ /-74;;) 0 FAX I-fp!d - lI'-Il- tel 3 7 Number of Officers Requested Through FAST Actual Number of Sworn Officers Performing Law Enforcement Functions as of 10/1/94 I TWD (d) I$? Area of Jurisdiction (square miles) Entry Level Annual Salary Per Officer L/4 I -;271 ~Q:).0(:)1 Number of 1993 UCR Part I Crimes Entry Level Annual Fringe Benefits Cost Per Officer .L(K3 I \ I, 000, CC I Current Population Served (per most recent U.S. census data) Is the applicant organization delinquent on any federal debt? (If answer is yes, please attach an explanation.) 11/143 D ~ Yes No I certify that the information provided on this form is true and accurate to the best of my knowledge. I understand that the applicant must comply with the assurances on the reverse side if the assistance is awarded. On behalf of the applicant, I certify compliance with the apPlicable requirements of the Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Drug-Free Workplace Requirements; and Non-Supplanting. Law En. forcement ~ecuti~.s Signature Zz)j ~J.-- Government Executive's Signature - Return this form postmarked by December 31,1994 to: COPS Office, P.O. Box 14440, Washington, DC 20044. Overnight mail: 633 Indiana Avenue, NW, Third Floor, Washington, DC 20531. FAX: (202) 514-9272. Public reporting burden for this collection of infonnation is estimated at 55 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonnation. Send comments regarding this burden estimate or any other aspects of this collection of infonnation, including suggestions for reducing this burden to the Office of Community Oriented Policing Services, U.S. Department of Justice, 633 Indiana Ave., Nw, Third Floor, Washington, DC 20531; and to the Public Use Reports Project, 1105-0061, Office oflnforniation and Regulatory Affairs, Office of Management and Budget, Washington,. DC 20503. COPS 001101