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BJA FY 09 Recovery Act Edward Byrne Memorxa~ Justice Assistance Grant Program Lac,,. Page 1 of 2 <br />w.~~. <br />-.ra-- µ~~.:.. A ~Y Apt wa n vial - ~~--:_ <br />.. _: _ ~ <br />~, __ - - - <br />.~: ~ <br />;:.>. 4x~ <br />~p Iic~.ation orrespor~dence :Switch to ... <br />Application Handbook <br />;overview <br />Ap l i- <br />Inforr~ation <br />budget and <br />Attaohrnents <br />~ssuraE~ces and <br />~rtificatiori~ <br />review S IW X24 <br />u brn it ~p.p.l.i.~.~_o~. <br />H--~/ I~ re u e <br />~.1~.d..... u.~.s ~ i o:n ~. <br />~1~5 i~lon~e <br />I.::o.g.... <br />Applicant Information <br />Verify that the following information filled is correct and fill out any missing <br />information, To save changes, click on the "Save and Continue" button, <br />GIs the applicant <br />delinquent an any federal ,~ Yes ~ No <br />debt <br />Employer Identification 4~ - 600524 <br />Number (SIN} .. -~ .. .....................: <br />'Type of Applicant Municipal <br />Type of Applicant <br />(Other): ............ ...................... ................... <br />~Organizatianal unit Elk River Police Departs <br />'~I~egal Name (Legal City of EIk River <br />Jurisdiction Name} <br />'vendor Address 1 ~ 3077 Orono Parkway <br />vendor Address ~ <br />`Vendor City Elk River <br />Vendar Caunty/Parish Sherburne <br />'vendor State Minnesota <br />~vendar ZIP :55330 - 5600 Need help for ZIP+4? <br />Please provide contact information for matters involving this application <br />Contact Prefix; Mr. <br />Contact Prefix (Other); <br />Contact Pirst Name, :Robert <br />Contact Middle Initial; <br />'~Cantact Fast Name; Kluntz <br />Contact suffix. J r. - <br />Contact Suffix Other) ; <br />'Contact Title; :Captain <br />~Cantact Address Line i. ~ 3077 arono Parkway <br />hops.llgrants.ojp.usdoj.govlgmsexterzaallapp~~cantZnfo~•~nation.do 041D7120O9 <br />