Orange County NC Website
R <br /> 8 <br /> P <br /> CDBG Grant No. <br /> SIGNATORY FORM AND CERTIFICATION <br /> Recipient Name <br /> Address <br /> i <br /> Signatures of individuals authorized to sips Requisition for CDBG Funds forms.(Two signatures required on each requisition.) <br /> Signature Typed Name TYPED TITLE <br /> (Signature) (Typed Name) (TYPED TITLE <br /> Signature Typed Name TYPED TITLE <br /> (Signature) Typed Name (TYPED TITLE) <br /> CERTIFICATION <br /> 1. ( ) 1 certify that the signatures above are of the individuals authorized to sign Requisition for CDBG Funds.form for the above recipient. <br /> i <br /> Grtifying Offkial+ TITLE <br /> i <br /> Z. ( ) The governing board has passed a resolution authorizing the persons above to sign Requisition for CDBG Funds forms for the above <br /> recipient.A copy of the resolution Is attached. <br /> 1 certify that the signatures above are those of the Individuals authorized by resolution of the governing board of the recipient to sign <br /> Requisitic+n for CDBG Funds forms. <br /> CDBG 0101 (9186) CertifyingOftkial+ TITLE <br /> I <br /> i <br /> I <br />