COMMUNITY AND ECONOMIC DEVELOPMENT
Single Application for Assistance
Web Application #:
7044066
This web application has been submitted to: The Department of Community Economic
Development (DCED)
Please Read and Sign this page, ATTACH All supporting documentation, and MAIL to:
Pennsylvania Department Of Community and Economic DevelopmentCommomwealth Keystone BuildingAttn: Customer Service Center 400 North Street, 4th Floor
Harrisburg, PA 17120-0225
I hereby certify that all information contained in the single application and supporting materials submitted
to DCED via the internet, Web Application #
7044066
and its attachments are true and correctand accurately represent the status and economic condition of the Applicant. If I knowingly make a falsestatement or overvalue a security to obtain a grant and/or loan from Commonwealth of Pennsylvania, Imay be subject to crLm alprosecution.
Signature:
L.>
Print Name:
Mayor Ed Pawlowski
Date: 2
31-0P
Title:
Mayor, City of
Allentown
Representing: City
of Allentown
Address:
Allentown
PA
18101-1699
If this application is being submitted on behalf of another entity, a certification is also required for that
entity.
Signature:
Print Name:
Title:
Corporate Submissions
Only:
Attested by:
(Signature of Corporate Secretary)
"I understand that in order to facilitate the submission of additional applications for this project on the Internet,• information from this application (limited to the profile, project summary and site employment/projected jobs data)will be available to DCED Authorized Service Providers on the DCED Single Application web site, unless I have
checked here.
The Department of Community and Economic Development reserves the right to accept or reject any or
all
applications submitted on the Single Application for Assistance contingent upon available funding
sources and respective applicant eligibility.