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• . • 1 • <br /> ' • - <br /> OMB Aoprov. al No.29-R0213 <br /> I .. NUMBER 3. STATE a-/CUMBER <br /> ' FEDERAL ASSISTANCE 2. APPL1- <br /> APPLICA. <br /> I <br /> - cmrs <br /> - , - • nota <br /> 4 ... ---- <br /> 1. TYPE 0 PREAPIt1.1EATHRI • APPU- b. DA= IDENT1. b. DATE rear *Eolith day <br /> OF Year meadh. dair <br /> • FIER <br /> ACTION a APPUCknON CATION <br /> 19 ASSIGNED 19 <br /> Work ap- 0 fielfiFiLMON OF INTENT (Opt) <br /> Mriciff 0 REPORi OF FEDERAL ACTION Man,* <br /> . . - . <br /> 4. LEGAL APPLICANT! ECIPIENT 5. FEDERAL EMPLOYER IDENTIFICATION NO, <br /> ft: Appllang Nana : Orange County Department of Social Services 56-6000327 <br /> b. otelnirition Unit • <br /> . . & not available ... <br /> C. Streot/P.O. Sax • <br /> • PRO. e. NUIADER • <br /> GRAM b.71111 <br /> d. City : a. rowdy ii <br /> (Prows State "EDS FY1983 Coordi <br /> t. stag • <br /> • <br /> I.ZIP Cedm Federal ated Discretionary Fund4 <br /> , <br /> b. Canted Parra (Naas* Calaloo) <br /> Program" Priority 1.5 <br /> a & lelephaver No.) ,: • • • <br /> a '7. TITLE AND DESCRIPTION OF APPUCANV3 PROJECT 11.TYPE OF APPLICANT/RECIPIENT <br /> I - <br /> 11 <br /> • A-Stato <br /> 13..lotaratete -Community Action Agency <br /> I-Higher Educational Inatitutlert <br /> Comparing [Iwo Models of Parent EduCation c-sctistat. <br /> Distrkt J-Indian Tribe <br /> K-Otter {Specify): <br /> for Abusinig and Neglecting Families ' D-ccucti <br /> &tit/ <br /> ____ ______ <br /> S . F-Scbool District <br /> G-Special Purr/ate <br /> 9.TYPE OF ASSISTANCE 1514----1.1.aPPri:12riate Itige'C:1 <br /> A-Seek Giant D-4neuranee <br /> ea , <br /> • <br /> .. B-Supplernente1 Grant Ether Enter 4:IPPC. En <br /> 0 ' <br /> C-Loart priote lotter(e) <br /> . ' <br /> • • <br /> 10. AREA OF PROJECT IMPACT (Names of cilia,caan(ke, 11. ESTIMATED NUM. 12.TYPE OF APPLICATION <br /> Smut.re.) BER OF PERSONS A-gym g,-Reyislo0 E-Augmeriblion <br /> BENEFITING <br /> 6.41enesa1 13-Centinuation <br /> • <br /> .•■••• ...1•••■•• rnter*PProPrieto(ate, <br /> 0 <br /> 13. PROPOSED FUNDING 14. CONGRESSIONAL,DISTRICTS ON 15. TYPE OF CHANGE (For lee or:,.10 <br /> '-•' A-Inrease Dalian F-Ottar (SpeciAl: <br /> I. FEDERAL 3 I,8.6 557•00 e.APPLICANT- b. PROJECT • 13-0tatasse Dollars <br /> b. APPLICANT I 711171,7.00. 4 '4 C-Inereass Duralicn <br /> D-Dearease DureUon <br /> E-CmcollatIon <br /> . a. STATE .00 16. PROJECT START' 17'. PROJECT <br /> DATE rear mon%dolt DURATION refer appro. <br /> d. LOCAL. . I AO 19 7 g Months 'ebb lattertid = <br /> . e. OTHER I .00 3.8,. ESTIMATED DATE TO " Year month dap 19. MISTING FEDERAL IDENTIFICATION NUM9ER <br /> BE suemirrEo To <br /> $ 1 14869.00 FEDERAL AGENCY•• 19 <br /> 20. FEDERAL AGENCY TO RECEIVE REQUEST (Name,Gap,SW..ZIP code) 21. REMARKS ADDEO <br /> 1 0 Yes 0 No <br /> -,. <br /> 22. it. To the b of my knowledge end belief, b. I!required by 01113 Circular A.95.this arAcialoa ten oubm1dcd, purulent to In. No re- ' Rreposoa <br /> at <br /> 0 <br /> data in 'Oil prztplicatica/opplimuon era structican therein, b stumpage elayrinlrerirs err 411 reapte:sa are *Mar: tweet attached <br /> L.-- THE true and cdrrect. the document has been <br /> L...'-' APPLICANT duly embodied by the gamming body at <br /> CERTIFIES the eppliceoi and the epplicant will comply (1) 0 0. <br /> '3. <br /> THAT). with the rather! =pea= II the Maur- c4 ' 0 0 <br /> ante Es elinireverL <br /> i • f31 o o <br /> , m 21 s. TYPED itAME AND TITLE • b. SIGNAT RE 6. RATE SIGHED ' <br /> g CERTIFYING Thomas M. Ward, Director / Year manta dap <br /> REPRE.. . • <br /> 19 83 1 28 <br /> sumnvE °rang Co. Dept. of Soc. SerV. //ifiejaZir r <br /> ,. . <br /> 24. AGENCY NAME i <br /> 1 . <br /> 26. APPUCA- Year month dap <br /> 710N <br /> RECEIVED 19 <br /> , <br /> 26. ORGANIZATIONAL UlliT 27. ADMINISTRATIVE OFFICE 213. FEL/CrAL APPLICATION <br /> • <br /> r I DENTI Fl CATION <br /> i0 • _ . .-----..---- :.. <br /> . ADDRESS . <br /> 31 FEDERAL GRANT <br /> IDENTIFICATION <br /> .., <br /> 31. ACTION TAKEN 3z1 FUNDING . <br /> Year month day 34. Year mon% dap <br /> m <br /> g0 iii.AWARDED a.FEDERAL S .00 33. ACTION DATE).. 19 STARTING DATE 19 . <br /> 0 b. REJECTED b.IAPPLICANT ,00 35. CONTACT FOR ikoomotw. INFORMA. 39. Year mots% otep <br /> i -----N, 710N (Name and trephorts manlier) ENDING <br /> i 0 e- RETURNED FOR c. 67ATE AO <br /> ____........ DATE 19 <br /> t: AMENDMENT d i0cAL .00 37. REMARKS ADDED <br /> a ) - <br /> E 0 4. DEFERRED e OTHER - .00 <br /> - , <br /> ...... <br /> Os- WITHDRAWN y. Turn $ . ,00 0 yel ONO <br /> 16 .. <br /> ____..... <br /> . 31 a.Ilit taking above actIco, any=manta revolved horn dearlinabuies were con- b. FEDERAL AGENCY A-O5 OFFICIAL <br /> swum. It same/response Jr due under provision:at Part 1,0141)Circular A-95. Mine and gelcphene no.) <br /> FEDERAL AGENCY It Nan been or le being nuoa. <br /> A-95 ACTION <br /> • <br /> STANDARD FORM 424 PAGE 1 (10-75) <br /> Preacribed bid GX.4,Federal Maaagssosne Cirrator 74-r <br /> ..... ... .., <br /> . _. - . , .... ,. . . . • "'' '' ' - - - - - ' - - <br />