[ { "page": 1, "items": [ { "page": 1, "type": "TEXT", "location": { "l": 42.72, "t": 733.2, "r": 186.24, "b": 696.72 }, "text": "LIVESTOCK LOSS BOARD\nPO BOX 202005\nHELENA, MONTANA 59620-2001", "reading_order": 0 }, { "page": 1, "type": "TEXT", "location": { "l": 423.6, "t": 733.68, "r": 564.48, "b": 696.72 }, "text": "BOARD OFFICE: (406) 444-5609\nWEBSITE: www.llb.mt.gov\nEMAIL: LIVLossBoard@mt.gov", "reading_order": 1 }, { "page": 1, "type": "TITLE", "location": { "l": 184.56, "t": 660.96, "r": 421.92, "b": 646.56 }, "text": "LOSS PREVENTION GRANT APPLICATION", "reading_order": 2, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 180.24, "t": 641.76, "r": 426.24, "b": 629.28 }, "text": "Review all grant requirements prior to completing this form.", "reading_order": 3 }, { "page": 1, "type": "TABLE", "location": { "l": 41.04, "t": 611.28, "r": 570.48, "b": 282.24 }, "text": "
Applicant NamePrimary Contact (if different)
Mailing AddressPhone
CityStateZipEmail
Are you a corporation? ☐ Yes ☐ No\nAre you actively involved in ranching? ☐ Yes ☐ No\nIf no, please describe your involvement with livestock producers for this project:
PROJECT DESCRIPTION\nWhat is the primary focus of your project?\nRange RidingGuard Dog Purchase/SupportFladry/Visual Deterrents
FencingCarcass CompostingTracking/Security Technology
Other:
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"column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 358.704, 487.89, 570.48, 529.02 ], "text": "Email", "html_text": "Email", "links": [], "cell_header_index": 3, "rowspan": 1, "colspan": 2, "column_header": true, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 3, "location": [ 41.04, 446.76, 570.48, 487.89 ], "cells": [ { "location": [ 41.04, 446.76, 570.48, 487.89 ], "text": "Are you a corporation? ☐ Yes ☐ No\nAre you actively involved in ranching? ☐ Yes ☐ No\nIf no, please describe your involvement with livestock producers for this project:", "html_text": "Are you a corporation? ☐ Yes ☐ No\nAre you actively involved in ranching? ☐ Yes ☐ No\nIf no, please describe your involvement with livestock producers for this project:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 5, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 4, "location": [ 41.04, 405.63, 570.48, 446.76 ], "cells": [ { "location": [ 41.04, 405.63, 570.48, 446.76 ], "text": "", "html_text": "", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 5, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 5, "location": [ 41.04, 364.5, 570.48, 405.63 ], "cells": [ { "location": [ 41.04, 364.5, 146.928, 405.63 ], "text": "PROJECT DESCRIPTION\nWhat is the primary focus of your project?\nRange Riding", "html_text": "PROJECT DESCRIPTION\nWhat is the primary focus of your project?\nRange Riding", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 146.928, 364.5, 358.704, 405.63 ], "text": "Guard Dog Purchase/Support", "html_text": "Guard Dog Purchase/Support", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 358.704, 364.5, 570.48, 405.63 ], "text": "Fladry/Visual Deterrents", "html_text": "Fladry/Visual Deterrents", "links": [], "cell_header_index": 3, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 6, "location": [ 41.04, 323.37, 570.48, 364.5 ], "cells": [ { "location": [ 41.04, 323.37, 146.928, 364.5 ], "text": "Fencing", "html_text": "Fencing", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 146.928, 323.37, 358.704, 364.5 ], "text": "Carcass Composting", "html_text": "Carcass Composting", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 358.704, 323.37, 570.48, 364.5 ], "text": "Tracking/Security Technology", "html_text": "Tracking/Security Technology", "links": [], "cell_header_index": 3, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" }, { "row_index": 7, "location": [ 41.04, 282.24, 570.48, 323.37 ], "cells": [ { "location": [ 41.04, 282.24, 146.928, 323.37 ], "text": "Other:", "html_text": "Other:", "links": [], "cell_header_index": 0, "rowspan": 1, "colspan": 1, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 146.928, 282.24, 358.704, 323.37 ], "text": "", "html_text": "", "links": [], "cell_header_index": 1, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" }, { "location": [ 358.704, 282.24, 570.48, 323.37 ], "text": "", "html_text": "", "links": [], "cell_header_index": 3, "rowspan": 1, "colspan": 2, "column_header": false, "row_header": false, "placeholder": false, "ref": "#/tables/0" } ], "ref": "#/tables/0" } ], "n_rows": 8, "n_cols": 5, "ref": "#/tables/0", "reading_order": 4 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 320.06, "t": 620.145, "r": 564.44, "b": 599.649 }, "text": "Applicant Name", "field_kind": "text", "label": "Applicant Name", "pdf_field_name": "Text2", "pdf_field_type": "Text", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 319.008, "t": 574.948, "r": 564.44, "b": 553.926 }, "text": "Mailing Address", "field_kind": "text", "label": "Mailing Address", "pdf_field_name": "Text4", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 242.804, "t": 531.328, "r": 312.702, "b": 509.78 }, "text": "State", "field_kind": "text", "label": "State", "pdf_field_name": "Text7", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 192.877, "t": 530.802, "r": 233.344, "b": 509.254 }, "text": "City", "field_kind": "text", "label": "City", "pdf_field_name": "Text6", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 320.06, "t": 530.802, "r": 564.966, "b": 509.78 }, "text": "Zip", "field_kind": "text", "label": "Zip", "pdf_field_name": "Text8", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 438.834, "t": 478.773, "r": 446.191, "b": 467.21 }, "text": "Email", "field_kind": "radio", "label": "Email", "pdf_field_name": "Nonprofit", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 164.52, "t": 478.56, "r": 171.12, "b": 469.32 }, "text": "Are you a corporaŸon", "field_kind": "radio", "label": "Are you a corporaŸon", "pdf_field_name": "Corporation", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 198.24, "t": 478.56, "r": 204.72, "b": 469.32 }, "text": "Are you a corporaŸon", "field_kind": "radio", "label": "Are you a corporaŸon", "pdf_field_name": "Corporation", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 236.28, "t": 461.64, "r": 242.88, "b": 452.4 }, "text": "Are you acŸvely involved in ranching", "field_kind": "radio", "label": "Are you acŸvely involved in ranching", "pdf_field_name": "Rancher", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 269.64, "t": 461.64, "r": 276.24, "b": 452.4 }, "text": "Are you acŸvely involved in ranching", "field_kind": "radio", "label": "Are you acŸvely involved in ranching", "pdf_field_name": "Rancher", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 14 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45.1033, "t": 430.142, "r": 565.68, "b": 392.52 }, "text": "If no, please describe your involvement with livestock producers for this project", "field_kind": "text", "label": "If no, please describe your involvement with livestock producers for this project", "pdf_field_name": "Non-rancher explanation", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 186.57, "t": 338.451, "r": 197.081, "b": 327.414 }, "text": "○Guard Dog Purchase/Support", "field_kind": "checkbox", "label": "○Guard Dog Purchase/Support", "pdf_field_name": "Guard Dog", "pdf_field_type": "CheckBox", "reading_order": 16 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 367.359, "t": 338.451, "r": 377.344, "b": 326.889 }, "text": "○Fladry/Visual Deterrents", "field_kind": "checkbox", "label": "○Fladry/Visual Deterrents", "pdf_field_name": "Fladry", "pdf_field_type": "CheckBox", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 44.6717, "t": 337.925, "r": 53.606, "b": 326.889 }, "text": "○Range Riding", "field_kind": "checkbox", "label": "○Range Riding", "pdf_field_name": "Range Riding", "pdf_field_type": "CheckBox", "reading_order": 18 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 186.044, "t": 322.159, "r": 198.132, "b": 310.597 }, "text": "○Carcass ComposƟng", "field_kind": "checkbox", "label": "○Carcass ComposƟng", "pdf_field_name": "Carcass", "pdf_field_type": "CheckBox", "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 43.6206, "t": 321.108, "r": 53.0805, "b": 311.122 }, "text": "○Fencing", "field_kind": "checkbox", "label": "○Fencing", "pdf_field_name": "Fencing", "pdf_field_type": "CheckBox", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 366.833, "t": 320.582, "r": 377.344, "b": 311.122 }, "text": "○Tracking/Security Technology", "field_kind": "checkbox", "label": "○Tracking/Security Technology", "pdf_field_name": "Security/Tracking", "pdf_field_type": "CheckBox", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 87.2412, "t": 309.597, "r": 559.184, "b": 294.356 }, "text": "○Other: _______________________________________________________________________________", "field_kind": "text", "label": "○Other: _______________________________________________________________________________", "pdf_field_name": "Other description", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 42.5695, "t": 305.341, "r": 53.0805, "b": 294.305 }, "text": "○Other: _______________________________________________________________________________", "field_kind": "checkbox", "label": "○Other: _______________________________________________________________________________", "pdf_field_name": "Other", "pdf_field_type": "CheckBox", "reading_order": 23 }, { "page": 1, "type": "TITLE", "location": { "l": 42.72, "t": 272.16, "r": 132.72, "b": 258.96 }, "text": "PROJECT DETAILS", "reading_order": 24, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 47.52, "t": 248.88, "r": 562.8, "b": 233.76 }, "text": "Project Start Date: ___ Project End Date: ___", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 148.2, "t": 262.68, "r": 303.6, "b": 235.56 }, "text": "Project End Date", "field_kind": "text", "label": "Project End Date", "pdf_field_name": "Start Date", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 404.76, "t": 262.68, "r": 562.08, "b": 235.56 }, "text": "undefined", "field_kind": "text", "label": "undefined", "pdf_field_name": "End Date", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "TEXT", "location": { "l": 47.76, "t": 228.24, "r": 560.88, "b": 213.6 }, "text": "Please describe your project in detail. Attach additional sheets/documentation as needed:", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 46.44, "t": 212.76, "r": 560.64, "b": 29.88 }, "text": "Please describe your project in detail. Attach additional sheets/documentation as needed", "field_kind": "text", "label": "Please describe your project in detail. 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"page": 2, "type": "TEXT", "location": { "l": 43.2, "t": 584.16, "r": 561.6, "b": 554.4 }, "text": "List cash and in-kind services in the boxes below (must be a minimum of 30% of the Total Project Amount).\nCash Contribution:", "reading_order": 12 }, { "page": 2, "type": "TEXT", "location": { "l": 44.64, "t": 549.36, "r": 401.04, "b": 536.4 }, "text": "Cash Source (list each name and amount individually for multiple cash sources)\nAmount", "reading_order": 13 }, { "page": 2, "type": "TEXT", "location": { "l": 491.52, "t": 548.64, "r": 534.48, "b": 535.92 }, "text": "Amount", "reading_order": 14 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 41.5184, "t": 533.43, "r": 457.228, "b": 515.561 }, "text": "Cash Source (list each name and amount individually for mulƟple cash sources)", "field_kind": "text", "label": "Cash Source (list each name and amount individually for mulƟple cash sources)", "pdf_field_name": "Text18", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 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331.619, "r": 134.015, "b": 311.648 }, "text": "Equipment Type", "field_kind": "text", "label": "Equipment Type", "pdf_field_name": "Text41", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 135.592, "t": 331.619, "r": 318.483, "b": 311.122 }, "text": "Equipment Type", "field_kind": "text", "label": "Equipment Type", "pdf_field_name": "Text42", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 319.008, "t": 331.619, "r": 390.483, "b": 311.122 }, "text": "DescripƟon", "field_kind": "text", "label": "DescripƟon", "pdf_field_name": "Text43", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 391.534, "t": 331.093, "r": 457.753, "b": 311.122 }, "text": "Rental Rate", "field_kind": "text", "label": "Rental Rate", "pdf_field_name": "Text44", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 458.279, "t": 331.093, "r": 565.491, "b": 311.122 }, "text": "Total Time", "field_kind": "text", "label": "Total Time", "pdf_field_name": "Text45", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 460.2, "t": 256.853, "r": 565.56, "b": 236.462 }, "text": "Total In-Kind Services: Grant Match Amount: (Total Cash ContribuŸons + Total In-Kind Services)", "field_kind": "text", "label": "Total In-Kind Services: Grant Match Amount: (Total Cash ContribuŸons + Total In-Kind Services)", "pdf_field_name": "Total In-Kind", "pdf_field_type": "Text", "reading_order": 33 }, { "page": 2, "type": "TEXT", "location": { "l": 41.28, "t": 219.84, "r": 567.6, "b": 193.92 }, "text": "Total In-Kind Services: Grant Match Amount: (Total Cash Contributions + Total In-Kind Services) $", "reading_order": 34 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 470.64, "t": 225.728, "r": 565.32, "b": 198.65 }, "text": "undefined", "field_kind": "text", "label": "undefined", "pdf_field_name": "Total grant match", "pdf_field_type": "Text", "reading_order": 35 }, { "page": 2, "type": "TITLE", "location": { "l": 42.72, "t": 175.44, "r": 143.52, "b": 162.96 }, "text": "PROJECT LOCATION", "reading_order": 36, "level": 2 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 412.2, "t": 162.6, "r": 562.08, "b": 144.84 }, "text": "Total acres", "field_kind": "text", "label": "Total acres", "pdf_field_name": "Total acres", "pdf_field_type": "Text", "reading_order": 37 }, { "page": 2, "type": "TEXT", "location": { "l": 48.24, "t": 157.68, "r": 408, "b": 144.72 }, "text": "County: Total acres:", "reading_order": 38 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 94.56, "t": 162.6, "r": 342.12, "b": 144.84 }, "text": "County", "field_kind": "text", "label": "County", "pdf_field_name": "County", "pdf_field_type": "Text", "reading_order": 39 }, { "page": 2, "type": "TEXT", "location": { "l": 48, "t": 140.16, "r": 558.24, "b": 126.24 }, "text": "Project Location: (Enter legal description(s) of property on which project will take place. Attach maps as needed)", "reading_order": 40 }, { "page": 2, "type": "TEXT", "location": { "l": 43.44, "t": 121.92, "r": 560.16, "b": 34.08 }, "text": "100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000", "reading_order": 41 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 46.44, "t": 129.36, "r": 560.64, "b": 35.16 }, "text": "Project Location: (Enter legal description(s) of property on which project will take place. Attach maps as needed)", "field_kind": "text", "label": "Project Location: (Enter legal description(s) of property on which project will take place. Attach maps as needed)", "pdf_field_name": "Project Location", "pdf_field_type": "Text", "reading_order": 42 } ] }, { "page": 3, "items": [ { "page": 3, "type": "TITLE", "location": { "l": 42.72, "t": 742.8, "r": 176.16, "b": 731.28 }, "text": "LIVESTOCK INFORMATION", "reading_order": 0, "level": 3 }, { "page": 3, "type": "TEXT", "location": { "l": 42.48, "t": 726.24, "r": 436.8, "b": 713.28 }, "text": "Please list the number and type of animals that will be protected by this project:", "reading_order": 1 }, { "page": 3, "type": "TEXT", "location": { "l": 43.44, "t": 705.6, "r": 568.32, "b": 687.81 }, "text": "Species Number Description (breed, age, sex, commercial vs registered, etc.)", "reading_order": 2 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 44.6717, "t": 695.299, "r": 107.212, "b": 677.43 }, "text": "Species", "field_kind": "text", "label": "Species", "pdf_field_name": "Text9", "pdf_field_type": "Text", "reading_order": 3 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 106.687, "t": 694.773, "r": 161.344, "b": 676.905 }, "text": "Number", "field_kind": "text", "label": "Number", "pdf_field_name": "Text10", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 161.344, "t": 694.773, "r": 566.017, "b": 677.43 }, "text": "Description (breed, age, sex, commercial vs registered, etc.)", "field_kind": "text", "label": "Description (breed, age, sex, commercial vs registered, etc.)", "pdf_field_name": "Text11", "pdf_field_type": "Text", "reading_order": 5 }, { "page": 3, "type": "TITLE", "location": { "l": 42.72, "t": 546, "r": 250.56, "b": 533.52 }, "text": "PREDATORS AND DEPREDATION HISTORY", "reading_order": 6, "level": 2 }, { "page": 3, "type": "TEXT", "location": { "l": 45.36, "t": 528.48, "r": 470.16, "b": 513.12 }, "text": "Which predator species have killed your livestock in the last 5 years?", "reading_order": 7 }, { "page": 3, "type": "TEXT", "location": { "l": 45.36, "t": 513.12, "r": 470.16, "b": 497.76 }, "text": "Wolves Grizzlies Mountain Lions Black Bears", "reading_order": 8 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 41.5184, "t": 510.306, "r": 54.6571, "b": 498.743 }, "text": "○ Wolves", "field_kind": "checkbox", "label": "○ Wolves", "pdf_field_name": "Wolves", "pdf_field_type": "CheckBox", "reading_order": 9 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 149.782, "t": 510.831, "r": 162.395, "b": 499.795 }, "text": "○ Grizzlies", "field_kind": "checkbox", "label": "○ Grizzlies", "pdf_field_name": "Grizzlies", "pdf_field_type": "CheckBox", "reading_order": 10 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 258.045, "t": 510.306, "r": 270.132, "b": 499.269 }, "text": "○ Mountain Lions", "field_kind": "checkbox", "label": "○ Mountain Lions", "pdf_field_name": "Mountain Lion", "pdf_field_type": "CheckBox", "reading_order": 11 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 400.469, "t": 510.831, "r": 415.184, "b": 499.269 }, "text": "○ Black Bears", "field_kind": "checkbox", "label": "○ Black Bears", "pdf_field_name": "Black Bear", "pdf_field_type": "CheckBox", "reading_order": 12 }, { "page": 3, "type": "TEXT", "location": { "l": 43.2, "t": 478.08, "r": 372.48, "b": 465.6 }, "text": "List depredations that were investigated by USDA-Wildlife Services:", "reading_order": 13 }, { "page": 3, "type": "TEXT", "location": { "l": 43.44, "t": 461.28, "r": 562.32, "b": 448.12 }, "text": "Year # Losses Livestock Type Predator Comments", "reading_order": 14 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 89.3434, "t": 448.291, "r": 142.949, "b": 435.152 }, "text": "Year", "field_kind": "text", "label": "Year", "pdf_field_name": "Text78", "pdf_field_type": "Text", "reading_order": 15 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 143.475, "t": 448.291, "r": 241.227, "b": 435.152 }, "text": "# Losses", "field_kind": "text", "label": "# Losses", "pdf_field_name": "Text79", "pdf_field_type": "Text", "reading_order": 16 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 242.804, "t": 448.291, "r": 313.753, "b": 434.626 }, "text": "Livestock Type", "field_kind": "text", "label": "Livestock Type", "pdf_field_name": "Text80", "pdf_field_type": "Text", "reading_order": 17 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 314.804, "t": 447.765, "r": 562.338, "b": 435.152 }, "text": "Predator", "field_kind": "text", "label": "Predator", "pdf_field_name": "Text81", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 44.6717, "t": 447.24, "r": 88.8178, "b": 434.626 }, "text": "Year", "field_kind": "text", "label": "Year", "pdf_field_name": "Text77", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 3, "type": "TEXT", "location": { "l": 43.2, "t": 365.52, "r": 537.84, "b": 352.32 }, "text": "Please describe any unconfirmed losses or other impacts on your livestock caused by large predators:", "reading_order": 20 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 46.68, "t": 348, "r": 560.88, "b": 215.64 }, "text": "Please describe any unconfirmed losses or other impacts on your livestock caused by large predators", "field_kind": "text", "label": "Please describe any unconfirmed losses or other impacts on your livestock caused by large predators", "pdf_field_name": "Loss History", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 3, "type": "TITLE", "location": { "l": 43.2, "t": 197.04, "r": 176.16, "b": 185.04 }, "text": "PREVENTATIVE PRACTICES", "reading_order": 22, "level": 2 }, { "page": 3, "type": "TEXT", "location": { "l": 42.96, "t": 179.76, "r": 553.92, "b": 150 }, "text": "Please describe any preventative practices that you currently utilize to reduce livestock losses caused by large predators:", "reading_order": 23 }, { "page": 3, "type": "FORM_FIELD", "location": { "l": 46.68, "t": 145.56, "r": 560.88, "b": 53.64 }, "text": "large predators", "field_kind": "text", "label": "large predators", "pdf_field_name": "Preventative Practices", "pdf_field_type": "Text", "reading_order": 24 } ] }, { "page": 4, "items": [ { "page": 4, "type": "TITLE", "location": { "l": 42.96, "t": 768.48, "r": 183.12, "b": 756 }, "text": "PREVIOUS GRANT AWARDS", "reading_order": 0, "level": 2 }, { "page": 4, "type": "TEXT", "location": { "l": 43.44, "t": 751.68, "r": 453.84, "b": 737.76 }, "text": "If you have received a grant from the LLB in the past, what was the money used for?", "reading_order": 1 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 46.68, "t": 733.8, "r": 565.68, "b": 697.32 }, "text": "If you have received a grant from the LLB in the past, what was the money used for", "field_kind": "text", "label": "If you have received a grant from the LLB in the past, what was the money used for", "pdf_field_name": "Previous grants awarded", "pdf_field_type": "Text", "reading_order": 2 }, { "page": 4, "type": "TEXT", "location": { "l": 42.96, "t": 678.72, "r": 560.16, "b": 664.8 }, "text": "Please list each year you were awarded a grant(s): ___", "reading_order": 3 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 290.16, "t": 696.12, "r": 558.96, "b": 667.32 }, "text": "Please list each year you were awarded a grant(s", "field_kind": "text", "label": "Please list each year you were awarded a grant(s", "pdf_field_name": "Previous grant years", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 4, "type": "TEXT", "location": { "l": 44.16, "t": 652.8, "r": 559.68, "b": 581.04 }, "text": "If this is a continuation of a previous grant, explain your success/failures from previous grant award(s):", "reading_order": 5 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 46.68, "t": 636.12, "r": 560.88, "b": 582.96 }, "text": "If this is a conŸnuaŸon of a previous grant, explain your success/failures from previous grant award(s", "field_kind": "text", "label": "If this is a conŸnuaŸon of a previous grant, explain your success/failures from previous grant award(s", "pdf_field_name": "Previous grants success/failure", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 4, "type": "TITLE", "location": { "l": 42.96, "t": 564.48, "r": 162.24, "b": 552.24 }, "text": "APPLICANT SIGNATURE", "reading_order": 7, "level": 2 }, { "page": 4, "type": "TEXT", "location": { "l": 42.48, "t": 547.44, "r": 564.24, "b": 471.84 }, "text": "Applicant-Grantee assumes sole responsibility for all claims, liabilities, demands, causes of action, judgments, and losses arising in favor of or asserted by Applicant-Grantee's employees and agents, its subcontractors, its subcontractor's employees and agents, or third parties on account of property damage, personal injury, bodily injury, death, or financial or other loss of any kind that in any way, directly or indirectly, in whole or in part, arise or allegedly arise out of or in connection with any loss prevention grant it is awarded.", "reading_order": 8 }, { "page": 4, "type": "TEXT", "location": { "l": 42.48, "t": 461.76, "r": 565.2, "b": 354.48 }, "text": "The State of Montana, its elected and appointed officials, agents, and employees (including, but not limited to, the Montana Department of Livestock, Montana Board of Livestock, and the Livestock Loss Board and Program) assume no responsibility for any claims, liabilities, demands, causes of action, judgments, and losses arising in favor of or asserted by Applicant-Grantee's employees and agents, its subcontractors, its subcontractor's employees and agents, or third parties on account of property damage, personal injury, bodily injury, death, or financial or other loss of any kind that in any way, directly or indirectly, in whole or in part, arise or allegedly arise out of or in connection with any loss prevention grant it awards to Applicant-Grantee.", "reading_order": 9 }, { "page": 4, "type": "TEXT", "location": { "l": 42.96, "t": 327.36, "r": 551.28, "b": 313.92 }, "text": "Applicant Signature: ___ Date: ___", "reading_order": 10 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 145.68, "t": 345.24, "r": 414.48, "b": 316.44 }, "text": "Applicant Signature", "field_kind": "signature", "label": "Applicant Signature", "pdf_field_name": "Applicant Signature", "pdf_field_type": "Signature", "reading_order": 11 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 448.56, "t": 345.24, "r": 550.08, "b": 316.44 }, "text": "Date", "field_kind": "text", "label": "Date", "pdf_field_name": "Date", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 4, "type": "TITLE", "location": { "l": 42.72, "t": 302.88, "r": 187.44, "b": 289.92 }, "text": "SUBMISSION INFORMATION", "reading_order": 13, "level": 2 }, { "page": 4, "type": "TEXT", "location": { "l": 42.72, "t": 302.4, "r": 561.84, "b": 287.76 }, "text": "2023", "reading_order": 14 }, { "page": 4, "type": "TEXT", "location": { "l": 75.36, "t": 284.88, "r": 528.96, "b": 256.56 }, "text": "Applications are due November 4, 2026. Late applications may be considered if time allows. The Livestock Loss Board will meet on December 9, 2026, to award grants.", "reading_order": 15 }, { "page": 4, "type": "TEXT", "location": { "l": 50.88, "t": 240.96, "r": 552.48, "b": 225.4631 }, "text": "BEFORE SUBMITTING THIS APPLICATION, ENSURE YOU HAVE INCLUDED ALL MATERIALS:", "reading_order": 16 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 50.64, "t": 225.4631, "r": 143.561, "b": 213.4856 }, "text": "ApplicaƟon Form", "marker": "○", "list_id": "L1", "level": 0, "reading_order": 17 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 48.4016, "t": 225.458, "r": 58.9126, "b": 214.421 }, "text": "○ ApplicaƟon Form", "field_kind": "checkbox", "label": "○ ApplicaƟon Form", "pdf_field_name": "Application", "pdf_field_type": "CheckBox", "reading_order": 18 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 302.5742, "t": 225.4631, "r": 381.3471, "b": 213.4856 }, "text": "Maps (if used)", "marker": "○", "list_id": "L2", "level": 0, "reading_order": 19 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 299.614, "t": 225.983, "r": 311.702, "b": 213.896 }, "text": "○ Maps (if used)", "field_kind": "checkbox", "label": "○ Maps (if used)", "pdf_field_name": "Maps", "pdf_field_type": "CheckBox", "reading_order": 20 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 50.64, "t": 210.8229, "r": 80.4475, "b": 198.8454 }, "text": "W-9", "marker": "○", "list_id": "L3", "level": 0, "reading_order": 21 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 48.4527, "t": 210.794, "r": 59.4893, "b": 200.282 }, "text": "○ W-9", "field_kind": "checkbox", "label": "○ W-9", "pdf_field_name": "W-9", "pdf_field_type": "CheckBox", "reading_order": 22 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 302.6399, "t": 210.8229, "r": 551.6476, "b": 198.8454 }, "text": "AddiƟonal supplemental documentaƟon (if used)", "marker": "○", "list_id": "L4", "level": 0, "reading_order": 23 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 299.512, "t": 211.268, "r": 311.6, "b": 200.232 }, "text": "○ AddiƟonal supplemental documentaƟon (if used)", "field_kind": "checkbox", "label": "○ AddiƟonal supplemental documentaƟon (if used)", "pdf_field_name": "Additional documents", "pdf_field_type": "CheckBox", "reading_order": 24 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 50.64, "t": 196.1827, "r": 358.285, "b": 111.0042 }, "text": "Grant Supplement (if required) Total number of pages submitted with this application: ______ Submit your application and any supplemental documentation: Email: LIVLossBoard@mt.gov", "marker": "○", "list_id": "L5", "level": 0, "reading_order": 25 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 48.9272, "t": 196.501, "r": 59.4382, "b": 185.465 }, "text": "○ Grant Supplement (if required)", "field_kind": "checkbox", "label": "○ Grant Supplement (if required)", "pdf_field_name": "Supplement", "pdf_field_type": "CheckBox", "reading_order": 26 }, { "page": 4, "type": "FORM_FIELD", "location": { "l": 320.52, "t": 175.655, "r": 356.28, "b": 156.84 }, "text": "Total number of pages submitted with this application", "field_kind": "text", "label": "Total number of pages submitted with this application", "pdf_field_name": "Total Pages", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 4, "type": "LIST_ITEM", "location": { "l": 57.6, "t": 197.52, "r": 211.92, "b": 183.36 }, "text": "Grant Supplement (if required)", "marker": "○", "list_id": "L6", "level": 0, "reading_order": 28 }, { "page": 4, "type": "TEXT", "location": { "l": 49.2, "t": 168, "r": 358.32, "b": 154.32 }, "text": "Total number of pages submitted with this application: ___", "reading_order": 29 }, { "page": 4, "type": "TEXT", "location": { "l": 48.96, "t": 138.96, "r": 360, "b": 125.76 }, "text": "Submit your application and any supplemental documentation:", "reading_order": 30 }, { "page": 4, "type": "TEXT", "location": { "l": 50.16, "t": 123.6, "r": 492.24, "b": 81.84 }, "text": "Email: LIVLossBoard@mt.gov ~ OR ~ Mail: Livestock Loss Board PO Box 202001 Helena, MT 59620-2001", "reading_order": 31 }, { "page": 4, "type": "TEXT", "location": { "l": 44.64, "t": 65.04, "r": 562.32, "b": 30.24 }, "text": "Questions? Call Leslie Doely (406) 465-9319", "reading_order": 32 } ] } ]