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PAPERS Application and Agreement <br /> Paperless Document Management System <br /> (Complete both forms for each PAPERS User) <br /> Nameof PERS User-; <br /> Prefix:: First: Middle: Last: bVV11 <br /> C <br /> Title: lq6t�lt.6.l_ <br /> Organization Name (if appropriate) 7:JF44�'1'4 <br /> (Us City or County if loc Gov) <br /> Address: l ,t Z <br /> City: �1✓o � cl� L zip: <br /> Phone: / — �x7` 1L57 <br /> Fax: �'777Q <br /> Representing (local government): __ �ty� !✓�-�( sn �l <br /> Address Where PAPERS Computer is located: <br /> Do you currently have access to the PAPERS program in conjunction with the Dept of <br /> Emergency Management? Yes V No <br /> If yes, do you have Entrust electronic signature? <br /> Will you (your position) need pfectronic signature for signing Request for Funds, <br /> Amendment Requests, etc? Yes No Comments: <br /> Use Agreement: <br /> I agree that I will only use the PAPERS system to submit and exchange documents with the <br /> Department of Community Affairs for the local government identified above. I will not attempt <br /> to view or modify any other documents relating to other local governments in the system. I <br /> further agree not to install additional copies of the Adobe Acrobat software or Entrust software <br /> without the written permission and authorization of the Department of Community Affairs. I <br /> also agree to Abide by the Adobe Acrobat licensing agreement and the Entrust Licensing <br /> agreement. Failure to abide by the terms of this agreement will result in the termination of <br /> rights and abilities to use the PAPERS system. <br /> Local Government Statement: I hereby authorize r � �, ���✓lit <br /> to participate in PAPERS on our behalf for the purposes of the CDBG Program. (Name of <br /> individual or consultant) <br /> cx"' <br /> Signature of PAPERS User: DATE: <br /> (Consultant or local government PAPE;�e�*eth <br /> ser <br /> Signature of Local Government CEDATE:1/21/03 <br /> Ver. 12/13/02 R. Macht, Chairman <br /> DCA USE ONLY: I approve this individual for PAPERS and the Enterprise Information SYstem: <br /> Colleen Matthews Date <br /> Libby Lane Date <br /> Steve Grantham/Terresa Grosvenor Date <br /> Comments: <br />