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Print Grant Pre-Application Information <br />CERTIFICATIONS: FINANCIAL OFFICER <br />Pre Application Number 297 <br />Financial Officer* <br />I certify that I agree to comply with the general and fiscal terms and conditions of this application <br />including special conditions; to comply with the provisions of the Act governing these funds and all <br />other federal laws; that all information presented is correct; that there has been appropriate <br />coordination with affected agencies; that I am duly authorized by the Applicant to perform the tasks <br />of Financial Officer as they relate to the terms and conditions of this grant application; that costs <br />incurred prior to grant approval may result in the expenses being absorbed by the implementing <br />agency; that the receipt of grantor funds through the Governor's Crime Commission will not supplant <br />state or local funds; and, that I understand that federal funds are limited to a maximum of twenty- <br />four months. <br />Name: <br />Agency: <br />Phone: <br />Kenneth Chavious <br />County of Orange <br />Title: Finance Director <br />Address: p,0. Box 8181 <br />(919) 245-5753 <br /> <br />Hillsborough, NC 27278 <br />Signature: <br />"NOTE: <br />Bonded: (`" Yes l No <br />The Project Director, Financial Officer, and Authorizing Official CAN NOT be the same person. <br />Staff funded under this grant may not be any of the authorizing officials without direct Crime <br />Commission approval. <br />THIS APPLICATION IS NOT COMPLETE WITHOUT THE ABOVE SIGNATURE. ~I <br />Page 12 <br />i~ <br />http://www.ncgccd.org/applications/GMSPreApp2005/PrintHTMLPreApp.cfm 1/26/2005 <br />