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. Keep Illi�ois Beautiful � <br /> ��. APPLICATION � <br /> - I <br /> ame¢n ress o oca overnment: oca overnment . I�, <br /> City of Decatur 37-1114840 I <br /> 1 Gary Anderson Plaza I <br /> Decatur, IL 62523 County: Macon ' <br /> ro�ect uration: I <br /> Beginning: October 15, 1995 � <br /> Ending: April 1, 1996 ��, <br /> Duration: 4 1/2 months ' <br /> rog-r¢m ontact erson: ae ecte acaa : ' <br /> Name: Ruth G. Stauffer Name: Terry Howley ', <br /> Title: Executive Director Title: Mayor I <br /> Street: P.O. Box 4092 Street: 1 Gary Anderson Plaza ', <br /> City: Decatur City: Decatur ' <br /> State/Zip: Il/62525 State/Zip: IL/62523 I� <br /> Phone: (217)872-7488 Phone: (217)424-2801 i <br /> eep meraca eautti u erta acataon: egis atave ocattion: � <br /> Certified yes (1982) State House District: I' <br /> Pre-certified 101 st �� <br /> Other State Senate District: ', <br /> Explain: 51 st � <br /> U.S. Congressional District: �', <br /> 20th <br /> tatus o ropose un ting: <br /> SOURCE OF FUNDS AMOUNT <br /> KIB Program Grant $ 8850 <br /> City of Decatur $ 9575 <br /> Macon County Education Grant/IL DCCA $ 2645 , <br /> � <br /> Total Program Funding: $21070 ' <br /> o t e est o my now e ge an ie , ata in t is app ication are true an correct, t e ocument as en <br /> duly authorized by the governing body of the applicant and the applicant will comply with the attached assur- <br /> ances if the application is approved. <br /> Signature of Authorized Official Title Date Signed I! <br /> IMPORTANT NOTICE � <br /> This state agency is requesting disclosure of information that is necessary to accomplish the statutory purpose <br /> as outlined under Ill. Rev. Stats. Chap. 127, Par. 46.1 et seq. Disclosure of this information is REQUIRED. , <br /> Failure to provide any information will result in this form not being processed. This form has been approved � <br /> by the State Forms Management Center. <br /> page 4 <br />