.. I I . . LAW ENFORCEMENT AGENCY (LEA) ARMORED TACTICAL VEHICLE REQUEST SCREENER ID: AGENCY NAME: Lake Charles Department POC - ADDRESS (No PO. Box): 830 EmemriSeHB'Vd CITY: Lak?el'CharleS PHONE: 337-302- 1. Type of Armored Tactical Vehicle Requested (if a speci?c type is required): MaxxPro CAT . ., -@cltyotlc.us FAX: 337.491.9154 -.. 43 .5 Geographic Responsibility (Square Mile?- I Sq M'Ies_ ls the LEA in a High Intensity Drug Trafficking Area th'ID'l'A): Yes? No Verify at: 5. Is the LFA willing to accept an Arnloretl'l'aetlml Vehicle that is: TrackedO Wheeled Either n. Number/Type of 1208/1033 Armored l?actieal Vehicles Currently on Inventory: 0 g) Number of Armored Vehicles Requeswd: 1 as? 7. SpecialConsiderzttions: We currently have no armored vehicle to resoond p-u- - ~v 'I?a . .e u?n-I The Chief Executive Official/Head of Agency (Local Field Of?ce), by signing, certifies 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 1033 Program. They certify that all information contained above is accurate and the request for an armored tactical vehicle is warranted and has been approved A v.1 . DATE: by. '5 HF EXEC OF I HEAD OF LOCAL AGENCY f, - i hulmm;_Tnu_ . ., II I STATE COORDINATOR: 1313 (NOT REQUIRED FOR FEDERAL) 'a LESO OFFICIAL: DATE LEA WAS ADDED TO THE NATIONAL PRIORITY LESO DISAPPROVED BY LEso:Cl REASON: