LAW ENFORCEMENT AGENCY (LEA) ARMORED TACTICAL VEHICLE REQUEST SCREENER 1D: AGENCY NAME: Okeeclxloee, . POC: ADDRESS (No PO. Box): 8 Nw ST . STATE: I: ?ltees?otevhgt arj ?nd] oz oKec she CITY: FAX: 84.3 "ms 016") dL PHONE: I han 1. Type of cred Ta?tical Vehicle Requested (if a speci?c type is requi m) 6/ OS Can/citing MuIv-Irii?o Number of Armored Vehicles Requested: Geographic Responsibility (Square Miles C0veredHigh Intensity Drug Traf?cking Area (HIDTA): YesO No Verify at: Mu Is the LEA willing to accept an Armored Tactical Vehicle that is: Tracka Wheeled Either of l208/l 033 Armored Tactical Vehicles Currently on Inventory: SpecialConsiderations: OW .l 1; Vetvm? I the?thall? Dal Havana-loci The Chief Executive Of?cial/Head of Agency (Local Field Of?ce), by signing, certi?es that the requesting agency listed above has the appropriate funds, personnel, and equipment to operate and maintain the requested vehicle. It is also understood that this agency will not sell, trade, or cannibalize for parts, armored vehicles acquired through the [033 Program. They certify that all information contained above is accurate and the request for an armored tactical vehicle is warranted and has been approved CHIEF EXECUTIVE OFFICIALI: Ptiul . (Wm Sherif? DATE: Ll - 5 HEAD OF LOCAL AGENCY in man wit: SIGNATU . STATE COORDINATOR: mung Jig (NOT REQUIRED FOR FEDERAL) PRINTED NAME A SIGNATURE I LESO OFFICIAL: 6-943 DATE LEA WAS ADDED TO THE NATIONAL PRIORITY LESO NOTES: r; Dre? 1 DISAPPROVED av REASON: