Orange County NC Website
SIGNATORY FORM AND CERTIFICATION Grant No., 01-C-0894 <br /> Recipient Name Orange County <br /> Address: P.O. Box 8181 <br /> Hillsborough, N.C. 27278 <br /> Signatures of individuals authorized to sign Requisition for Funds forms.(Two signatures required on each requisition.) <br /> _ Kenneth Chavious, Finance Director <br /> (Signature): (Typed Name) (Typed Title) <br /> John M. Link, Jr. , County Manager <br /> a (Typed Name) (Typed Title) <br /> c. Roderick Visser, Asst. County Manager <br /> (Si natU"re (Typed Name)(Typed Title) <br /> ? Gwendolyn Harvey,Asst. County Manager <br /> (Signature. (Typed Name) (Typed Title) <br /> CERTIFICATION <br /> 1_ ()) I certify that the signatures above are of the in ' ' uals authorized to si n Requisiti for Funds form for the <br /> above recipient. <br /> 2. The governing board has passed a resolution Certif ' f 'cial Title <br /> ( ) g g p on authorizing the rsons veto 'gn Requisition for Funds forms <br /> for the above recipient. A copy of the resolution is,attach <br /> certify that the signatures above are those of the individuals authorized by resolution of the governing board <br /> of the recipient to sign Requisition for Funds forms. <br /> Certifving Official + Title <br /> - f <br /> s <br /> s { <br /> 4� <br /> - x <br /> j <br />