[ { "page": 1, "items": [ { "page": 1, "type": "TEXT", "location": { "l": 60.48, "t": 733.44, "r": 204.72, "b": 696.72 }, "text": "LIVESTOCK LOSS BOARD\nPO BOX 202005\nHELENA, MONTANA 59620-2001", "reading_order": 0 }, { "page": 1, "type": "FIGURE", "location": { "l": 276.72, "t": 713.04, "r": 350.16, "b": 685.92 }, "text": "", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 418.8, "t": 734.16, "r": 560.4, "b": 696.24 }, "text": "BOARD OFFICE: (406) 444-5609\nWEBSITE: www.llb.mt.gov\nEMAIL: LIVLossBoard@mt.gov", "reading_order": 2 }, { "page": 1, "type": "TITLE", "location": { "l": 150.72, "t": 663.6, "r": 470.16, "b": 648.48 }, "text": "LOSS PREVENTION GRANT APPLICATION SUPPLEMENT", "reading_order": 3, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 70.56, "t": 644.64, "r": 547.92, "b": 612.24 }, "text": "Livestock loss prevention projects conducted by an organization working on behalf of livestock producers require a representative from each ranch indicating their participation in the project.", "reading_order": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 62.16, "t": 582.96, "r": 559.2, "b": 548.8 }, "text": "Livestock Owner or Ranch Name Primary Contact (if different)", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 63, "t": 609.12, "r": 331.92, "b": 582.6 }, "text": "Livestock Owner or Ranch Name", "field_kind": "text", "label": "Livestock Owner or Ranch Name", "pdf_field_name": "Livestock Owner or Ranch Name", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 336.96, "t": 609.12, "r": 558.12, "b": 582.6 }, "text": "Primary Contact (if different", "field_kind": "text", "label": "Primary Contact (if different", "pdf_field_name": "Primary Contact if different", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 63, "t": 565.2, "r": 331.92, "b": 538.68 }, "text": "Address", "field_kind": "text", "label": "Address", "pdf_field_name": "Address", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 336.96, "t": 565.2, "r": 558.12, "b": 538.68 }, "text": "Phone", "field_kind": "text", "label": "Phone", "pdf_field_name": "Phone", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 62.16, "t": 548.8, "r": 559.2, "b": 480.48 }, "text": "Address Phone", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 62.5426, "t": 524.926, "r": 219.942, "b": 498.406 }, "text": "City", "field_kind": "text", "label": "City", "pdf_field_name": "City", "pdf_field_type": "Text", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 223.4, "t": 524.4, "r": 264.781, "b": 497.88 }, "text": "State", "field_kind": "text", "label": "State", "pdf_field_name": "State", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 267.918, "t": 524.4, "r": 331.92, "b": 497.88 }, "text": "Zip", "field_kind": "text", "label": "Zip", "pdf_field_name": "Zip", "pdf_field_type": "Text", "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 62.16, "t": 514.64, "r": 434.94, "b": 480.48 }, "text": "City State Zip", "reading_order": 14 }, { "page": 1, "type": "TITLE", "location": { "l": 60.24, "t": 465.36, "r": 198, "b": 451.68 }, "text": "LIVESTOCK INFORMATION:", "reading_order": 15, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 59.28, "t": 447.84, "r": 456.24, "b": 433.92 }, "text": "Please list the number and type of animals that will be protected by this project:", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 61.68, "t": 430.8, "r": 558.96, "b": 412.68 }, "text": "Species Number Description (breed, age, sex, commercial vs registered, etc.)", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 63.0659, "t": 416.758, "r": 125.606, "b": 398.364 }, "text": "Species", "field_kind": "text", "label": "Species", "pdf_field_name": "Text1", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 125.606, "t": 416.758, "r": 211.271, "b": 398.364 }, "text": "Number", "field_kind": "text", "label": "Number", "pdf_field_name": "Text2", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 212.322, "t": 416.758, "r": 557.082, "b": 398.889 }, "text": "Description (breed, age, sex, commercial vs registered, etc.)", "field_kind": "text", "label": "Description (breed, age, sex, commercial vs registered, etc.)", "pdf_field_name": "Text3", "pdf_field_type": "Text", "reading_order": 20 }, { "page": 1, "type": "TEXT", "location": { "l": 59.28, "t": 305.52, "r": 559.44, "b": 263.28 }, "text": "I attest that I am a livestock owner or ranch manager participating in a livestock loss prevention project conducted by ___", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 131.64, "t": 290.52, "r": 555.96, "b": 264 }, "text": "Name of Organization", "field_kind": "text", "label": "Name of Organization", "pdf_field_name": "Name of Organization", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 1, "type": "TEXT", "location": { "l": 276.72, "t": 260.88, "r": 394.32, "b": 246.48 }, "text": "(Name of Organization)", "reading_order": 23 }, { "page": 1, "type": "TEXT", "location": { "l": 61.68, "t": 200.88, "r": 554.64, "b": 186.96 }, "text": "Signature: ___", "reading_order": 24 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 115.2, "t": 215.88, "r": 390.12, "b": 189.36 }, "text": "Signature", "field_kind": "signature", "label": "Signature", "pdf_field_name": "Signature", "pdf_field_type": "Signature", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 429.72, "t": 215.88, "r": 555.24, "b": 189.36 }, "text": "Date", "field_kind": "text", "label": "Date", "pdf_field_name": "Date", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "TEXT", "location": { "l": 399.12, "t": 200.64, "r": 556.56, "b": 186.72 }, "text": "Date: _____", "reading_order": 27 }, { "page": 1, "type": "TEXT", "location": { "l": 59.28, "t": 163.44, "r": 560.88, "b": 90.48 }, "text": "When providing information to the board for qualification under this section, applicants are subject to the false swearing penalties established in 45-7-202. Any person who knowingly and willfully gives false information for the purpose of prevention grants as provided in this section is guilty of a misdemeanor, punishable by a fine not to exceed $5,000 or imprisonment in the county jail for a term not to exceed 1 year, or both.", "reading_order": 28 } ] } ]