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Application for Funding Assistance <br /> Florida Department of Law Enforcement <br /> Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program <br /> C . Administrative Data <br /> 1 . Project Title : Substance Abuse Administration <br /> 2 . Identify the year of the project (I , II , III , etc.) XV <br /> 3 . Project period Start: October 1 , 2004 End : September 30 , 2005 <br /> D . Fiscal Data <br /> Remit Warrant to : (This may only be either the individual listed in B2 (Subgrantee CFO) or a designee in <br /> their office . If B2 is selected , do not reenter the contact information . This is only needed for designee . <br /> B2 XXXX <br /> OR <br /> DESIGNEE <br /> Name : <br /> Title : <br /> Address : <br /> City , State , Zip <br /> Phone Number: <br /> 2 . Is the subgrantee participating in the State of Florida Comptroller's Office electronic transfer program ? <br /> (Reimbursement cannot be remitted to any entity other than the subgrantee . ) <br /> Yes XX No <br /> 3 . Frequency of Fiscal Reporting : Monthly XX Quarterly. <br /> 4 . Subgrant Recipient FEID #: 59- 6000674 <br /> 5 . State Agency SAMAS #: <br /> 6 . Project Generated Income (PGI) : <br /> Will the project earn PGI ? (See Section G , Item 9 . ) Yes No XX <br /> 7 . Cash Advance : Will you request an advance? <br /> Yes Amount No XXX <br /> If yes , a letter of request must be submitted with the application or prior to submission of the first claim for <br /> reimbursement. Amount requested must be justified and accepted by FDLE . <br /> FDLE Byrne Formula Grant Application Package Grant Application <br /> Section II - Page 3 <br /> Rule 11 D-9 . 006 OCJG — 005 (rev. April 2004) <br />