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Committee use only The Greater Jefferson County P. O. 1325 Fairfield IA 52556 Phone 641-472-0758 Fax 641-472-0758 gjcf0758 iowatelecom.net Foundation Time/date rec d App/denied status Amount approved Check date sent POP rec d 1st notice sent Amount Requested 2nd notice 3rd Official Annual Grant Application All applications must be submitted on this form. No see attachments other than estimates quotes and Letters of Determination Application deadline 4 00 PM July 1 2010 Name of Organization...
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