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Fort Walton Beach Council agenda — 03-08-05 — reading text

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y...,.:.:.;.,_,""'....~,.""..""""'....>>"''*_* x-,....>>>:-,,,:':-:.>,.,:. o-;.''',,.,~,.. e Title Alternate Contact Information Number 1 Fire Chief Prefix N/ A First Name Michael Middle Initial W Last Name Dutton Business Phone 850- 833- 9564 Ext. Home Phone 850- 244- 1702 Ext. Mobile Phone/ Pager 850- 585- 9153 Fax 850- 833- 9685 Email mdutton@fwb. org Alternate Contact Information Number 2 Title Deputy Chief Prefix N/ A First Name Robert Middle Initial Last Name Alden Business Phone 850- 833- 9566 Ext. e Home Phone 850- 651- 0358 Ext. Mobile Phone/ Pager 850- 585- 9154 Fax 850- 833- 9685 Email balden@fwb. org https: llportal.fema. gov/ firegrant/j sp/ fire2004/ application/print_ app.j sp? print=true& app _nu... 2/ 21/ 2005 Print Application Page 3 of 20 Applicant Information I. I*_':"':~'>( w~~.~>>: o~ V',.>>>;-:< m~-}:<'>>';""~~':'''''>> o>",; o;.: WN'>:;.''' J(..<<<*:... w.O:'_)) Y".....""".:<_.<<< w!.-:<."""') O:~,-..,.... w"" I<'>:-:- w,' m"_".:.>...,.,.."..;;. W,:(-:.,: v..;"'_;.,.."'*''',>>:,,'''''( r<.;._<."'.,.: o;<.%',..,.:.:.:...,..... m" o/ol<<,' m:- X':_,,_.~"'.;.,:..>:.,.._,~,"".:~"{,~_,:<"''"'.'''*,.".,.'''.:._,...."'>>>".:.:.,"/',:.",,.:.:.>>>>>~:<<<<{ y,.,... q..~:.o:'>,>>,.:~_..' y.. 04< o/.;*'*'*~.> w,.,..,,,.>>><>.."'<->:,'''",<<.,..,>>:-!<"""%'>;->;,.. I'>,_>> H,'> I,:</':.:,...~,.. y,,.....<>>>'..,>: oY._:<.....,.""...,".. I<. m>:,.:"'''- m,.".~' x.:'.:<,.,.:.:......>}:...~~: e EMW- 2004- FG- 14436 Originally submitted on 04/ 01/ 2004 by Robert Alden ( Userid: balden) Based on information you have provided. your department serves a Suburban community. Contact Information: Address: 5 NE Hollywood Blvd City: Fort Walton Beach State: Florida Zip: 32548 Day Phone: 850- 833-9565 Evening Phone: 850- 651- 0358 Cell Phone: 850- 585- 9154 Email: balden@fwb. org Application number is 14436 Applicant Name Fort Walton Beach Fire Department Type of Applicant City If other, please enter the type of Applicant Employer Identification Number 59- 6000323 Does your organization have a DUNS Number? Yes If yes, please enter the DUNS Number

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