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N.C. Parks and Recreation Trust Fund Accessibilitv for Parks Proiect Agreement <br /> Section V. Attestation and Execution <br /> N.C.G.S.§133-32 and Executive Order 24 prohibit the offer to,or acceptance by,any State Employee of any gift from <br /> anyone with a contract with the State, or from any person seeking to do business with the State. By execution of <br /> any response in this Agreement,you(Grantee)attest,for your entire organization and its employees or agents,that <br /> you are not aware that any such gift has been offered,accepted,or promised by any employees of your organization. <br /> In witness whereof, the Department and the Grantee have executed this Agreement in duplicate originals, one of <br /> which is retained by each of the parties. <br /> tu <br /> N4Ae of Grantee(Local Go✓ernment) Siv ature*f Grante@,466�f Cefted Official) <br /> va- <br /> Typed or Printed Name of Official Title of Official <br /> Date <br /> (Notary Public Completes) <br /> State of North Carolina <br /> County of <br /> On this ,� day of / '/Q�/ ,20J� ✓ / �C.� `�/ <br /> persQn� illy app red before me the said named �I2 r7/�/Lf \�� �,I in their capacity <br /> as �1 o for Grantee, to me known and known to me to be the person <br /> described in and who executed the foregoing instrument, and he (or she) acknowledged that he (or she)executed <br /> the same and being duly sworn by me,made oath that the statements in the foregoing instrument are true. <br /> My commission expires: J — 20 <br /> (Seal Here)4�A(v)a'lt \\`\�S�gANi�Mi�",,�/ <br /> Signature of Notary Public ' N 0 TA/�r <br /> PUBLIC <br /> J <br /> I1� <br /> Page 7 of 10 <br />