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<br />-. <br /> <br />GRANT APPLICATION. PART 1 <br /> <br /> <br />..,. <br /> <br />AGENCY NAME <br /> <br />Grand Junction Regional Center <br /> <br />PROJECT ADMINISTRATORITITLE Russ McKenz i e. Oi rector' of Fi'nance <br /> <br />ADDRESS/ZIP CODE <br /> <br />. I <br /> <br />2ROO n rM <br /> <br />r.rand .1I1nrtion.. rOl0rl'lrlo. Rl~01 <br /> <br />PHONE: <br /> <br />~ 245-2100 <br /> <br />FEDERAL 1.0. NUMBER 9802565 <br /> <br />CATEGORYOFPROJECT Government and Public Facilities--installation of new <br />technology. <br />AREA OF DIRECT PROJECT IMPACT (Name of cities and counties) <br />Any state facility. especially involved with health care. local health care <br /> <br />facilities such as hospitals. nursing homes. doctor1s offices. clinics <br /> <br />Applicants are subject to the following conditions: <br /> <br />The grant recipient agrees to develop and adhere to a schedule for State review of the project <br />to assure that the scope and intent of the project results are achieved. <br /> <br />Applications requesting funds expressly for administrative purposes will not be accepted. <br /> <br />THE APPLICANT CERTIFIES THAT - To the best of my knowledge and belief, information in <br />this application is true and correct. The document has been duly authorized by the governing <br />body of the applicant's agency. I have read the above conditions as well as the grant <br />guidelines. <br /> <br />Jean Vader Loose. RN. Training Officer 16 <br />TYPED NAME AND TITLE <br /> <br />SIGNATURE9~ fh-- ~ <br /> <br />2-24-93 <br />DATE <br /> <br />\0 /O"V,o. <br />J l1iJ,&u-:.'i.- I <br />'1 Y7V ' <br />/41:.,\/// <br /> <br />,/ <br /> <br />D <br />Y 11 D' \ () / <br />/ <br /> <br /> <br />11!~lltlll:l:tlll:~::I!I:::II:::::::::'I:::.::::::,:::1::::\:::::::\:::\:::::\\:\\:: <br /> <br />-2- <br /> <br />\] I~ <br />t( ~~ ~. <br />~. I~~ <br /> <br />/ <br />/ <br />