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If the local government accepts any portion of the above-referenced funding, the North Carolina <br />Division of Emergency Management will reimburse the County of Orange for actual expenses <br />not to exceed the amounts listed above, subject to the allocation of funds from DHS, ODP and <br />the Department of Crime Control and Public Safety, Division of Emergency Management for the <br />purposes set forth and the MOA and this form shall automatically terminate if funds cease to be <br />available. Allowable costs shall be determined in accordance with the U.S. Department of <br />Homeland Security, Office of Domestic Preparedness, FY 2003 State Homeland Security Grant <br />Program Guidelines and Application Kit available at <br />http://www.ojp.usdo'~ gov/odp/docs/ODPApplication.pdf and in accordance with the Detailed <br />Budget Worksheets in Annex C, attached and incorporated by reference herein. <br />~ a3 <br />Signature the Chairman of the Printed ame ate <br />County Commissioners <br />Or Mayor <br />This form must be returned to the DHS FY2003 SHSGP Manager no later than August 29, <br />2003. <br />DHS FY2003 SHSGP Memorandum of Agreement Annex A: Reunbursement/Declination Form Page 3 of 1 <br />