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2008-2009 DRUG ABUSE RESISTANCE EDUCATION <br />APPLICATION COVER SHEET <br />ype of Application: <br />~ Existing <br />New <br />Expansion <br />Grant Period: August, 2008 -June, 20"09 <br />Amount Requested: <br />$ 2,880.50 <br />A~encv Information: <br />A licantA enc Name HAYFIELD VILLAGE POLICE DEPARTMENT <br />A euc Address l 6621 WILSON MILLS ROAD <br />A "enc Address 2 <br />City, State Zip HAYFIELD VILLAGE , OHIO 44143 <br />county CUYAHOGA <br />A enc Phone 440 461-1234 F,~g 440 684-0454 <br />Sheriff or Chief Name: PATRICK J . DEARDEN <br />All Brant funds will be distributed via EFT. Electronic Funds Transfer. <br />As?encv Contact Person: <br />Name. CHIEF PATRICK J. DEARDEN <br />Address 1 SAA <br />Address 2. <br />`Ci State Zi <br />Agency Phone.. ( ) FAX ( ) <br />E-mail Address: pdearden@mayfieldvillage.com <br />1. County or City Auditor (Please Print) <br />~gnatdre <br />2. Sheriff or Chief of Police (Please Print) <br />PATRICK J. DEARDEN <br />3. Ma}~r, City Mgr.; Safety Director or County Commissipnel~(Please Print) <br />*We ereby certify, understand and agree to the ccititents, conditions, and assurances contained in this application as required by the <br />Atto ey General's Office, that the data in this application is true and correct. We also certify that the governing body of the applicant's <br />"' ;en has authorized this document. Three authorized officials must sign this document before the application is complete. <br />5 <br />