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3286298392 P080 PAGE E12

 

 

LAW ENFORCEMENT AGENCY (LEA)
ARMORED TACTICAL VEHICLE REQUEST

 

SCREENER ID: AGENCY (300W 5% 09m

 

 

 

P00: 322% Egg?. mgr-gm, 5' Cum brawn?)

ADDRESS 13 OM be Sm mo
ClTY:%uz_ STATE: mtg,
ZIP: 
PHONE: FAX: - ?392

 

1. Type ofArmored Tactical Vehioic Requested (if a type is required):
-- 
Number of Armored Vehicles Requested: 

Geographic Responsibility (Square Miles Covered): 13 1 55;: Mike:

15 the LEA in aHigb Intensity Drug Traf?cking Area (HIDTA): Yes 0 No 

Verify at: 
5. Is theiLBA willingm acceptan Armored Tactical} Vehiolc that is: Trackch Wheeled Either 
6. of 1208/1033 Armored Tactical Vehicles on Inventory:

in?? 
. SpecialConsiderations: -
(S'an W4 
Hm Sadat-a:ng W9 
(rm-r chm? hm mu VM 1, IMW

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 rechsted which. It
is also understood that this agency will no: ac", trade. or cannibalize for parts, armored vchides acquired through
the 1033 Program. Thesy certify that all information contained above is accurate and the request for an armored
tactical vehicle is warranted and has been approved

 

7

 

 

      

CHIEF EXECUIWE omcmu: s'nwm Mm Ems

MAD OF LOCALAGENCY -: . A . ewe? WW, Faso
4..

sum COORDINATOR: mm: 13%}

(NOT REQUIRED FOR FEDERAL)

 

 

LESO USE ONLY

LESO OFFICIAL:

 

DATE LEA WAS ADDED TO THE NATIONAL PRIORITY LIST: 8 - 3

 

LESO NOTES: . 4

DISAPPROVED BY 1,2505 REASON: