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EXHIBIT A <br />TRANSPORTATION DISADVANTAGED COMMISSION <br />92/93 GRANT APPLICATION INFORMATION FORM <br />CONCERNING PLANNING RELATED ACTIVITIES <br />FOR THE NON -SPONSORED <br />1. DATE SUBMITTED: July 16, 1992 <br />2. LEGAL NAME OF ORGANIZATION: I.R.C. Caammity Development Dept. <br />3. ADDRESS: 1840 25th Street <br />4. CITY AND STATE: Very Beach, FL <br />5. ZIP CODE: 32960 FEDERAL ID # 59-6000674 <br />6. CONTACT PERSON FOR THIS GRANT:- Sasan Rrh ani <br />7. PHONE NUMBER: (407) 567-8000, Ext. 250 <br />a. COUNTY FOR WHICH THIS GRANT APPLIES: Imc]i an River County <br />9. PROPOSED PROJECT START DATE: Jan. 1, 1993 ENDING DATE: Dec. 31, 1993 <br />10a. ESTIMATED PROJECT FUNDING: b. PLANNING FUND ALLOCATION <br />State $ <br />14, 574.00 TRANSFERRED TO TRIP GRANT <br />State $ <br />TOTAL $ 14, 574.00 <br />11. I hereby certify that this document has been duly authorized by the <br />governing body of the applicant and the applicant will perform <br />tasks identified in the application manual and comply with any <br />attached assurances if the financial assistance is awarded. <br />a. R <br />TYPED NAME OF AUTHORIZED REPRESENTATIVE AND .TITLE <br />b. PHONE NUMBER OF PERSON ABOVE: (407) 567-8000, ext. 254 <br />co <br />SIGNATURE -OF AUTHPRIZK/REPRESENTATIVE DATE <br />12. I hereby certify that this grant, including the budget detail, has <br />been reviewed and approved in its entirety by the I.R. <br />County Coordinating Board. <br />X <br />Calm. sion Margaret C. Bowman <br />COORDINATING BOARD CHAIRPERSON SIGNATURE <br />Pam Ray. 3/Z M <br />8a <br />L_ JUL 281992 <br />BOOK <br />A <br />