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6/2/2014 Application Number: EMW-2011-FF-00724 <br />Submit Application <br />Application 100% complete, Submitted <br />Please click on any of the following links to visit a particular section of your application. Once all areas of <br />your application are complete, you may submit your application. <br />Application Area Status <br />Overview Complete <br />Contact Information Complete <br />Applicant Information Complete <br />Applicant Characteristics (I) Complete <br />Applicant Characteristics (II) Complete <br />Department Call Volume Complete <br />Request Details Complete <br />Budget Complete <br />Narrative Statement Complete <br />Assurances and Certifications Complete <br />PLEASE READ THE FOLLOWING STATEMENTS BEFORE YOU SUBMIT. <br />• YOU WILL NOT BE ALLOWED TO EDIT THIS APPLICATION ONCE IT HAS BEEN SUBMITTED. If you <br />are not yet ready to submit this application, save it, and log out until you feel that you have no more <br />changes. <br />• When you submit this application, you, as an authorized representative of the organization applying <br />for this grant, are certifying that the following statements are true: <br />To the best of my knowledge and belief, all data submitted in this application are true and correct. <br />This application has been duly authorized by the governing body of the applicant. <br />The applicant will comply with the Assurances and Certifications if assistance is awarded. <br />To sign your application, check the box below and enter your password in the space provided. To submit <br />your application, click the Submit Application button below to officially submit your application to FEMA. <br />Note: The primary contact will be responsible for signing and submitting the application. Fields marked <br />with an *are required. <br />I, Jerry Streich , am hereby providing my signature for this application as of 30 -May -2014. <br />https://eservices.fema.gov/FemaFireGrant/firegrant/jsp/safer2011/application/print_app.jsp?print=true&app number= EM W -2011-F F-00724 33/33 <br />