LAW ENFORCEMENT AGENCY (LEA) ARMORED TACTICAL VEHICLE REQUEST SC . AGENCY NAME. Banks Sheriffs Office 9% ADDRESS (No 0 Box): 160 Windmill Farm Road STATE: GA ZIP: 30547 Bum. mailoom moms: 706677- FAX 7066774687 1. Type of Armored Tactical Vehicle Requested (if a speci?c type is required): Mine Resistant Armor Piercing (MRAP) Vehicle 2. Number of Armored Vehicles Requested; 01 Geographic Responsibility (Square Miles Covered): 2333? SQ Miles Is the LEA in a High Intensity Drug Traf?cking Area (HIDTA) Yeso No Verify at: Is the LEA willing to accept an Armored Tactical Vehicle that is; TrackedO Wheeled Either 6. Number/Type of l208/1033 Armored Tactical Vehicles Currently on Inventory: 0 7. SpectalConSIderations; S.W.A.T., Atlanta Dragway, Large Shopping Area. l-85 is located in Banks County. The Chief Executive Officxal/Head of Agency (Local Field Of?ce), by Signing. certi?es that the requesting agency listed above has the apprOpnate 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 1033 Program. They certify that all information contained above is accurate and the request for an armored tactical vehicle ts warranted and has been approved CHIEF EXECUTIVE OFFICIAU: Carlton Speed DATE: 06042013 HEAD OF LOCAL AGENCY Pawn-to NAME STATE COORDINATOR: ~33 03/ DATE: 2" (NOT REQUIRED FOR FEDERAL) Pittman NAME I A SIGNATURE LESO OFFICIAL: DATE LEA WAS ADDED TO THE NATIONAL PRIORITY LIST: 4 - 3 LESO NOTES: DISAPPROVED BY