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i <br />40 <br />40 <br />07/1$12000 UED 04:12 PAX <br />B. Administrative Data <br />1. <br />edward Byrne Memorial Stale and local taw <br />�nfarcamarltASsistancrr fnrrrlrrfa Grant Program <br />oject Title (Not to exceed 84 characters, including spncos) <br />iuiti-Agonoy thug Enforcement Unit VIII <br />U 00.1/005 <br />V Period <br />Month <br />Day <br />Year <br />6eglnning <br />10 <br />01 <br />7000 <br />Ending <br />09 <br />30 <br />20DI <br />3. is the Subgrantee or the Implementing Agency a Mornber of a Local Criminal Justice Advisory Council or <br />Substance Abuse Policy Advisory Board, Coolitlan, or Council? (See ;ha Program Announcemenf ler a <br />descripilan of hoard responsib7ifr'os.) X Yes ❑ No <br />C. Fiscal Data <br />1. <br />tit nrner rnan me Lnrei r-manciu, yrrrcrrr J rccr;- YY G, 6r,- <br />NIA <br />Note: if the subgrantee Is participating in the Slate of Florida Comptroller's office eleotronlc transfer <br />ro ram, reimbursement cannot be remitted to any other entity. <br />2. Method of Payment: X Menthly 0 Quarterly <br />(It is mandatory that the method selected be consistent throughout the entire grant period,) <br />3. Vendor # (Enter Federal Cmployer Identification Number of Subgrantee)! <br />59-6000674 <br />4. SAMAS # (Enter if you area state agency) <br />NIA <br />5. Will the Project earn Protect Generated Income (PGI)? X Yes ❑ No <br />(See Section H., Paragraph 13, for a definition of PGI ) <br />6. Will the applicant be requesting an advance or federal fussds? n Yes X No <br />(If Yes, a letter of request must be attached.) <br />5u.�rotrPpp:A*on � Sarttin t; - r+aw7^ F a/ 16 <br />