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• <br /> • <br /> • . WASHINGTON STATE LIBRARY • • • <br /> inalast. ,•• INS1TTUTE of <br /> . • rg,4")_' Secretary of State • ry:,,z= MuseunlaaLibr • • <br /> SERVICES • <br /> SAM REED • • , <br /> • <br /> 8 • <br /> 2010 Targeted Competitive - Renew Washington Grants <br /> . Application.Folrm . <br /> Project name Relief for Everett: Increasing technology access.and skills for • <br /> today's.job market <br /> Amount of funding $25,000 <br /> requested • • <br /> Library or branch Everett Public Library • <br /> submiting this application <br /> Type Of library Public <br /> Person with contracting Ms. 0/Mr. 0/Dr. ®/Other Honorable <br /> authority Ray Stephenson . • <br /> •Title , . Mayor, City of Everett <br /> Organization name . EVERETT PUBLIC LIBRARY • <br /> Mailing address • 2702 HOYT AVE • <br /> City • . Everett <br /> • Zip 98201 <br /> Telephone 425-257-8021 <br /> Fax 425-257-8017 . <br /> E-mail kmossman@ci.everett.wa.us • <br /> Library or system director, Ms. 0 /Mr. 0/Dr. 0[Other <br /> if different from <br /> contracting authority Eileen Simmons . . . . <br /> Project manager Ms. 0/Mr. 0/Dr. 0/Other <br /> Kate Mossman _ <br /> .Title Assistant Library Director <br /> Organization name Everett Public Library • <br /> Mailing address 2702 Hoyt Ave- <br /> City <br /> veCity Everett • . <br /> Zip .98201 <br /> Telephone 425-257-8021 <br /> Fax 425-257-8017 <br /> E-mail kmossman@ci.everett.wa.us <br /> Alternate e-mail <br /> We affirm that the information included in this application is true. If this application is funded, we <br /> will sign a funding agreement and complete the activities in this application by August 12, 2011. <br /> We agree to participate in information gathering as a part of a state-administered evaluation of the <br /> project. <br /> 'd6eat:32 41r Io <br /> Contracting Authority Signature/Date Project Manager Signature/Date <br /> - .a411\2eM �'U1M � <br /> Library/System Director(if different) Signature/Date <br /> 1of13 52 <br />