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k- <br />WSTATE LIBRARY <br />of NORTH CAROLINA <br />State Aid Checklist <br />Please mail this checklist with your other State Aid documents with the boxes <br />checked to show that your application for State Aid is complete. <br />Name of Library: Lee, <br />The following documents must be included in all State Aid Application <br />packets: <br />L/ Application for State Aid to Public Libraries <br />Average Maintenance of Effort Form with total MOE amount <br />Q� Maintenance of Effort and Declaration Form(s) from all local funders <br />Q' Maintenance of Effort Worksheet <br />Assurance of Professional Salaries Funded with State Aid <br />Q' Current Long -Range Plan <br />Bylaws for Library Board(s) of Trustees <br />L� Current Roster(s) for Library Board(s) of Trustees <br />❑ Current Interlocal Agreement (regional libraries and other joint library systems only) <br />L9' Checklist <br />Submit application to: <br />State Aid <br />Library Development Section <br />State Library of North Carolina <br />4640 Mail Service Center <br />Raleigh, NC 27699-4600 <br />Deadline for Submission: <br />Postmarked on or before September 15, 2016 <br />Natural and <br />Cultural Resp <br />SL/LD <br />Rev. 06/16 <br />025 <br />