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Document / 17 pages

DEP menu form for 20 Dey Street, Dec 2006

Machine-extracted title · confidence 90%

Department of Environmental Protection internal menu form dated December 12, 2006, associated with the building at 20 Dey Street.

NYC-WTC_000126218–000126234

Folder label: “20 DEY STREET 1075702, 80/4

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Scanned page image, NYC-WTC_000126222
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

CITY OF NEW YORK PROJECT WORKSHEET OBLIGATION MAYOR'S OFFICE OF EMERGENCY MANAGEMENT AUTHORIZATION FORM

Purpose J `J —0 L K

This form signifies to the Federal Emergency Management Agency (FEMA) that the City of New York has reviewed the attached Project Worksheet (PW) and approves its obligation. However, this form does not indicate agreement with determinations made by the Federal Emergency Management Agency (FEMA)- within the PW — disagreements will be settled by appeal following obligation.

Signature Authority

The following individuals may sign the Project Worksheet Obligation Authorization Form:

Agency Representative Authorized Agent for the respective City Agency

Mayor's Office of Emergency Management (OEM) Henry Jackson MaryAnn Marrocolo

Mayor's Office of Management and Budget (OMB) Bud Larson

Agency's Authorized Agent:

Printed Name: kcLj, '?r k/

Date: A 23 0 z-

OEM Representative: .

Printed Name: 4. g4 c ocu Date: ____G2

OMB Representative: S~ ud EJ Q.

Printed Name: tI ✓ , J IUCI u C • p yam _

Date: ^~--

NYC-WTC 000126222

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NYC-WTC_000126222Source: NYC Law Department, mirrored locally

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