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� t <br /> _ <br /> ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY <br /> Federal and State Grants Unit <br /> Initial Cash Request <br /> On behalfof Gity of DecatLr (Decat�r pol;ce Department) <br /> I am requesting an initial cash request of$ 17,000.00 as permitted in Interagency Agreement # 107026 <br /> . //`r <br /> / ' y II <br /> ignature of Authorized O ' ial �� <br /> December 1.7 , 2�07 <br /> Date <br /> Mayor Pr_o Tem <br /> � Title <br /> Project Safe Neighborhoods <br /> Program Name <br /> 37-6001308 <br /> Implementing Agency Fein Number <br /> *Instructions for completion on reverse side <br /> For Authority use only <br /> Requested Disbursal FED/GR <br /> Approved by: Date <br /> Date <br /> P:\FORMS\A.Initiation\Initial Cash Request 04.03.doc <br />