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<br /> .- <br /> tb~ <br /> - <br /> I certify thilt the information provided on this form is true and accurate to the best of my knowledge. I understand thilt <br /> prior to any grant a1.l.'ard, the applicant must comply with all application and program requirements of the Public Safety <br /> Partnership and Community Policing Act of 1994 and other requirements of Federal law. <br /> Law Enforcement Executive's Signature: 1:1 .'W!~ Date: It) '-¿if -¿t <br /> , <br /> ( gnature of person named on the front of this form), <br /> Covemment Executive's Signature: Date: <br /> (signature of person named on the front of this form) <br /> Notice: If yoúr state participates in the Executive Order 12372 Intergovernmental Review Process (see the <br /> Appendix), please fill in the date on which you made a copy of this application available to the Single Point <br /> of Contact for review: - <br /> CFDA Number: 16.710 <br /> State Application Identifier: (For State SPOC Use Only) <br /> . <br /> HApplication Form: COPS MORE '96 (This page must be returned to the COPS Office.)". 15 <br />