1. Sheriff Dept requests - Laserfiche WebLink

Application Attachment to SF-424 OMB Number: 1103-0098 Expiration Date: 02/29/2008 Official Partner(s) Signature: Prefix I I First Name IAllen I Middle Name I I Last Name I Burgad I Suffix I I Signature: Date: I Completed Upon Submissic n to Grants.gov I Prefix I I First Name I Steven I Middle Name I I Last Name jHall I Suffix I I Signature: Date: I Completed Upon Submissio to Grants.gov I Prefix I I First Name I Roger I Middle Name I I Last Name I Mulvaney I Suffix I I Signature: Date: I Completed Upon Submissio to Grants.gov I Prefix I I First Name I Timothy I Middle Name I I Last Name I Jacobson I Suffix I I Signature: Date: I Completed Upon Submissio to Grants.gov I GRANTS.GOV NOTE: When applying online via Grants.gov, the Authorized Organizational Representative's signature will be the only signature su milled online. However, the Law Enforcement Executive/Program Official and the Government Executive/Financial Official signatures, as v ell as any applicable program partners' signatures, are MANDA TORY and a hard copy of the Certification of Review and Representation of Compli nce with Requirements should be kept in the agency's files and furnished upon request. Signatures shall be treated as a material rep esentation of fact upon which reliance will be placed when the Department of Justice determines to award the covered grant. PAPERWORK REDUCTION ACT NOTICE The public reporting burden for this collection of information is estimated to be up to eight average hours per response, depE nding upon the COPS program being applied for including time for searching existing data sources, gathering the data needed, and completing and eviewing the application. Send comments regarding this burden estimate or any other aspects of the collection of this information, includi g suggestions for reducing this burden. to the Office of Community Oriented Policing Services, U.S. Department of Justice, 1100 Vermont Ave ue, N.W., Washington, D.C. 20530; and to the Public Use Reports Project, Office of Information and Regulatory Affairs, Office of ManE gement and Budget, Washington, D.C. 20503. You are not required to respond to this collection of information unless it displays a valid OMB control number. The OMB co trol number for this application is 1103-0098 and the expiration date is 2/29/2008.