1. Sheriff Dept requests - Laserfiche WebLink

OMB Number: 4040-0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 . 1. Type of Submission: . 2. Type of Application: . If Revision, select appropriate letter(s): o Preapplication o New I I o Application o Continuation . Other (Specify) o Changed/Corrected Application o Revision I 1 . 3. Date Received: 4. Applicant Identifier: Completed by Grants.gov upon submission. I I 1 5a. Federal Entity Identifier: . 5b. Federal Award Identifier: 1 I 1 State Use Only: 6. Date Received by State: I ] 17. State Application Identifier: 1 I 8. APPLICANT INFORMATION: . a, Legal Name: I Cass County 1 . b. EmployerlTaxpayer Identification Number (EINITIN): . c. Organizational DUNS: 1456002205 1 10547852660000 I d. Address: . Street 1 : I PO BOX 2806 I Street2 : I I . City: 1 Fargo 1 County: 1 I . State: I NO: North Dakota I Province: I I . Country: 1 USA: UNITED STATES 1 . Zip / Postal Code: 158108-2806 I e. Organizational Unit: Department Name: Division Name: I Cass County Sheriff 1 I f. Name and contact information of person to be contacted on matters involving this application: Prefix: IMr I . First Name: IGlenn I Middle Name: 10. I . Last Name: I Ellingsberg I Suffix: I I Title: I Major 1 Organizational Affiliation: 1 . Telephone Number: 1701-271-2914 I Fax Number: 1701-271-2967 1 . Email: I ellingsberg@co.cass.nd.us 1