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Get Postmarked After The February 15, 2013 Deadline Will Not Be Accepted

Funding. The form must be postmarked or faxed (to meet deadline) no later than February 15, 2013. If faxed, the original must be sent by mail. Forms postmarked after the February 15, 2013 deadline will not be accepted. (Please type or print the requested information below) Entity Information Name of Entity (County/City/District etc.) Address County City State ZIP Code Contact Person FAX No. Telephone No. Email Address Project Description Provide a brief description of the Project. Re.

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