LOUISIANA COMMISSION ON LAW ENFORCEMENT AND THE ADMINISTRATION OF CRIMINAL JUSTICE FOR LCLE USE ONLY: Project ID: BJA Purpose Area: 1. TITLE OF PROJECT 2. NEW PROJECT B - - CONTINUATION PROJECT OF: 3. PROJECT DURATION 4. PROJECT FUNDS Months Federal Funds: Total Length: (Not to exceed 12 Months) Desired Start Date: Cash $0 Desired End Date: Total Project: 5A. APPLICANT AGENCY INFORMATION 5B. AUTHORIZED OFFICIAL OF APPLICANT AGENCY Agency Name: Authorized Official: Physical Address: Title: - City: Zip: Agency Name: Mailing Address: Address: - - City: City: Zip: Zip: ( ) - ( ) - ( ) - ( ) - FAX: Phone: FAX: Email: Email: - - CCR CAGE/NCAGE: CCR Expiration Date: Fed Employer Tax Id: DUNS: 6. IMPLEMENTING AGENCY 7. PROJECT DIRECTOR 8. FINANCIAL OFFICER Name: Name: Name: Title: Title: Title: Agency: Agency: Agency: Address: Address: Address: - - - City: City: City: Zip: Zip: Zip: ( ) - ( ) - ( ) - ( ) - ( ) - ( ) - Phone: FAX: Phone: FAX: FAX: Email: Email: Email: 9. PROJECT DESCRIPTION: (Please do not exceed space provided below.)
LOUISIANA COMMISSION ON LAW ENFORCEMENT AND THE ADMINISTRATION OF CRIMINAL JUSTICE FOR LCLE USE ONLY: Project ID: BJA Purpose Area: 1. TITLE OF PROJECT 2. NEW PROJECT CONTINUATION PROJECT OF: B - - 3. PROJECT DURATION 4. PROJECT FUNDS Total Length: Months (Not to exceed 12 Months) Federal Funds: Desired Start Date: Cash Desired End Date: Total Project: $0 5A. APPLICANT AGENCY INFORMATION 5B. AUTHORIZED OFFICIAL OF APPLICANT AGENCY Agency Name: Authorized Official: Physical Address: Title: City: Zip: - Agency Name: Mailing Address: Address: City: Zip: - City: Zip: - ( ) - FAX: ( ) - Phone: ( ) - FAX: ( ) - Email: Email: Fed Employer Tax Id: - DUNS: - CCR CAGE/NCAGE: CCR Expiration Date: 6. IMPLEMENTING AGENCY 7. PROJECT DIRECTOR 8. FINANCIAL OFFICER Name: Name: Name: Title: Title: Title: Agency: Agency: Agency: Address: Address: Address: City: Zip: - City: Zip: - City: Zip: - Phone: ( ) - FAX: ( ) - Phone: ( ) - FAX: ( ) - ( ) - FAX: ( ) - Email: Email: Email: 9. PROJECT DESCRIPTION: (Please do not exceed space provided below.)