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Y� � 9��s �--- <br /> • CIEAN ANO BEAUTIFUL PROGRAM <br /> 1 ' APPLICATION <br /> � Name and Address uf I..ocal Govprnment: I._oca GovernmEant 1=1-:[N y — <br /> __City of Decatur 37-1114840 <br /> �-- ------ <br /> 1 C iv i c C en t e r Fl a z a ---__.______.___.__..._.___.._.__...._............. .. <br /> Decatur , II��Z3-� —"-� - <br /> ` ----------- <br /> (;��un ty: .._...�a.�.f2T1...__...._..— <br /> ` P ro j e c t D u ra t i o n: ---- �--�--�---�----_ <br /> eeginning: 1-1-89 <br /> Fndinq: - - <br /> Duration: 6 Months <br /> -- <br /> Progr�m Cuntact P�rson: ----�—�-.--__y_..�--.--....._..._....__...._..---. <br /> t'.hi��F F.lE�cted OfFicial : � � �� <br /> Name Linda Kehart I <br /> — Name Gar Anderson <br /> Tit�e Executive Director - �---����----- -- � <br /> T.itle �Ia or <br /> Street 242 E. North St. � - - <br /> Street Civic �enter �'l�aza I <br /> City Decatuz �ity �Decatur, �---��� - <br /> State I_ 1 Zip 5 ..�:�f"��2� tQ Zip 5�� I <br /> Phune �_2171 42 -2800 P ` �217) 424-2801 <br /> . � _..__.._ <br /> KAep Am�rica 9eautiful CertiFic o� - <br /> � � 1.. islat.ive I_��cat���n: <br /> � � <br /> Certified x `'� � � <br /> - � ,C _ tatc�101st �istrict: <br /> Pre-(;Artified �v � <br /> Other �0 State Spnate Di.strict� <br /> Fxplain: �t'.4� c�G' S1st <br /> pt6S� ..�..._....------ --- <br /> ----- U.S. CongOthsinna] �i.stricl. <br /> L <br /> Status uf Prop�spd Funding; ----��------- - --- <br /> SOURCF: OF FUNDS FlMOUNT� <br /> Clpan and BPautiful Proqram Grant $��$ 920_ <br /> - ._........� <br /> Cl.e.a,�_�,prmmmi t�� Rv tc�m f�mrl $ b�4L� <br /> �er financial Gratement cash $ � - <br /> balance. $ ��— <br /> filn�k ('rant (��5-L88) $�` <br /> Total Program Funding $_17 ,840. 00 <br /> To the best of my knowledge and belief, data in this application are truc� dnd <br /> correct, the document has b�en duly authori�Ad by the guvprning body ��f l-h�� <br /> applicant e pplicant will comply with tfie attached assurances if tF,e <br /> applica ' roved. � <br /> Playor 12/15 88 <br /> Si ture f AuthorirAd OFficial —� 1"-�---- <br /> Title Date Signeci <br /> IMPORTANT NOTICE <br /> This statp agAncy is rpquestinq disclosure of inFormatiun that is nec�ssary t� <br /> accomplish the statutory purpose as outlined under I11 . Rev. Stats . Chap. 117, <br /> Para. 46. 1 et. seq, Disclosure of this information is RFQUIRFD. Fai.lure to <br /> provide any information will result in this form not being processed. TF�is <br /> form has bAen approved by the State Forms Management f;�rnter. <br />