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t! i <br />L <br />• <br />l <br />Grantee: <br />Address: <br />Federal ID No. <br />Account No.: <br />Grant Period: <br />Project: <br />SPATE OF NORTH CAROLINA <br />DEPART61ENT OF CRINIE CONTROL AND PUBLIC SAFETY <br />Division of Emergency Management <br />Physlal Address: 116 West Jones Street, Raleigh, NC 27603-1300 <br />Mailing Address: 4713 Mall Service Center, Raleigh, NC 27699A713 <br />SUPPLEMENTAL COST REPORT - FY 2007 <br />EMERGENCY MANAGEMENT <br />PERFORMANCE GRANT <br />LEE COUNTY OFFICE OF EMERGENCY MANAGEMENT <br />PO BOX 1154 <br />SANFORD NC 27331- <br />56-6000313-A <br />4701-53692000001-1510512 <br />10/01/06 - 09130/08 <br />EbIPG <br />Funding <br />Worksheet <br />Additional <br />Supplemental Award <br />Federal <br />$5,795.75 <br />Match <br />$0.00 <br />Total <br />$5,795.75 <br />1 <br />dfft <br />Certification: <br />I certify the above are correct, based on grantee's official accounting system and records, consistanlly applied and maintained, and that expenditures <br />shown have been made for the purpose of and in accordance with, applicable grant terms and condlllons, and that appropriate documentation to support <br />these costs and expenditures Is available or attached. <br />LEE COUNTY OFFICE OF EMERGENCY MANAGEMENT Authorized Signature Dme <br />Division of Emergency Management Assisinnt Director's Approval Signature <br />Depadmcm or Crime Control and Public Safely Controllers Office Approval <br />• Printed: 92412007 1:59:25 PM <br />Dme <br />Date <br />County ID: 37105 <br />