Orange County NC Website
10 <br /> SIGNATORY FORM AND CERTIFICATION Grant No. 01-0-0799 <br /> Recipient Name Orange County <br /> Address: P•0. 8181 <br /> Hillsborough, N.C. 27278 <br /> Signatures of individuals authorized to sign Requisition for Funds forms.(Two signatures required on each requisition.) <br /> John M. Link.,, County Manager <br /> (Signature) (Typed Name) (Typed Title) <br /> Roderick Visser, Asst. County Manager <br /> (Signature) (Typed Name) (Typed Title) <br /> Kenneth T. Chaxious, Finance Director <br /> (Signature) (Typed Name) (Typed Title) <br /> (Signature) (Typed Name) (Typed Title) <br /> CERTIFICATION <br /> 1_ ( ) I certify that the signatures above are of the individuals authorized to sign Requisition for Funds form for the <br /> above recipient. <br /> Certifying Official + Title <br /> 2 ( ) The governing board has passed a resolution authorizing the persons above to sign Requisition for Funds forms <br /> for the above recipient. A copy of the resolution is.attached. <br /> I 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 />