Laserfiche WebLink
Indiana Housing and Community Development Authority <br />Authorized Contact Information Form <br />Please indicate below the name(s) of the authorized contact person(s) for this award. This is the <br />individual that lHCDA will contact should we have any questions regarding this award. <br />Applicant: <br />Award Number: <br />City of South Bend <br />DR20R-018 -003 <br />Applicant Contact Name: <br />Organization: <br />Title: <br />Email Address: <br />Sub recipient Contact Dame: <br />Organization: <br />Title: <br />Email Address: <br />Administrator Contact Name: <br />Organization: <br />Title: <br />Email Address: <br />Signed: <br />Authorized Signatory of Applicant <br />Title <br />Date of Signatwe <br />Phone Number: <br />Phone Number: <br />Phone Number: <br />