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ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY <br /> Federal and State Grants Unit <br /> Initial Cash Request <br /> On behalf of City af Decatur (Decatur Police Department) <br /> I am requesting an initial cash request of$ 3 5,7 5 9.0 0 as permitted in Interagency Agreement #10 6 0 2 6 <br /> .�� <br /> �� � GG,� �,���✓ <br /> ��� <br /> Signature of Authorized Official <br /> January 29 , 2007 <br /> Date <br /> Mavor <br /> Title <br /> P�o�Pet Saf N _i�hborhnnAG <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: D�e <br /> Date <br /> P:\FORMS\A.Initiarion\Initial Cash Request 04.03.doc <br />