2011 - 04-04-2011 Reg. Meeting - Laserfiche WebLink

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tiooa 24 i'.nE 9 Amount of existing program income: Amount of anticipated program income: $0.00 $0.00 income exists or is anticipated, describe the �"��• °�°n�° -°° °°*�`_� -°'�� ' °';vn t Ii�i Claims Are there any unpaid costs or unsettled third party claims against the recipient's grant? Type "yes" or "no." If yes, in the box below describe the circumstances and amounts involved. NO ❑ Please note that all financial records, supporting documents and other records pertinent to the community development program must be retained for a minimum of five (5) years from the date of this letter. ❑This grant is closed pending the Division of Community Assistance receipt and approval of your final audit. Any findings noted in that audit will be the responsibility of the Town ❑ City ❑ County ❑ ' (: ME o iTIM t It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on page 1 hereof, have, to the best of my knowledge, been carried out in accordance with the grant agreement; that proper provisions have been made by the Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof; that the State of North Carolina is under no obligation to make any further payment to the Recipient under the grant agreement in excess of the amount identified on Line 7 hereof; and that every other statement and amount set forth in this instrument is, to the best of my knowledge, true and correct as of this date. Date Typed Name and Title of Recipient's Signature of Recipient's Authorized Representative 1—ar' "Do1 " OW) A»✓ Authorized Representative April 4,2011. (Nm) 1 / V 1 rA — Chair tr ) 11 i This Certification of Completion is hereby approved. Therefore, I authorize cancellation of the unutilized contract commitment and related funds reservation and obligation of $ , less $ previously authorized for cancellation (from Section 6, line 6, page I). Date Typed Name and Title of DOC Signature of DOC's Authorized Representative Authorized Representative Gloria Nance -Sims Director .)