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<br /> Application Attachment to SF-424 OMB Number: 1103-0098 <br /> Expiration Date: 02/29/2008 <br />C. Government Executive/Financial Official Information: <br />Enter the government executive's name and contact information (for government agencies) or financial official's name and c ntact information (for <br />non-government agencies). For government agencies, this is the highest-ranking official within your jurisdiction (Mayor, City Administrator, Tribal <br />Chairman, or equivalent). If the grant is awarded, this position would be responsible for the financial management of the aw rd. <br />. Title I Chairman I <br />Prefix I 1 . First Name I Scott I <br />Middle Name I 1 <br />. Last Name I Wagner I <br />Suffix I I <br />. Name of Government <br />Entity/Financial Entity I Cass County I <br />. Street Address 1 I PO Box 2806 I <br />Street Address 2 I I <br />. City I Fargo 1 <br />County I Cass County 1 <br />. State I ND: North Dakota I <br />Province I 1 <br />. Zip Code 158108-2806 1 <br />. Country 1 USA: UNITED STATES 1 <br />. Telephone 1701-241-5609 I <br />Fax 1 I <br />. E-mail I WagnerS@casscountynd.gov I <br />. Type of Government Entity <br />I County I <br />