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RETURN THIS COPY TO THE CLERK'S OFFICE <br /> FOR THE PERMANENT AGENDA FILE e/! <br /> s/96 <br /> State of North Carolina, County of orange <br /> Appendix B <br /> Certified Statement <br /> Pursuant to G.S. 136-44.27, the North Carolina Elderly and Disabled Transportation <br /> Assistance Program, this is to certify that the undersigned is the duly elected, qualified and <br /> acting chairperson of the Board of County Commissioners of the County of <br /> Orange North Carolina, <br /> and that the following statements are true and correct: <br /> 1. That the funds received pursuant to G.S. 136-44.27 will be used to provide additional transportation <br /> services for the elderly and disabled, exceeding the quantity of trips provided prior to the receipt of <br /> these funds. <br /> 2. That the funds received pursuant to G.S. 136-44.27 will not be used to supplant existing Federal, <br /> State or local funds designated to provide elderly and disabled transportation services in the county. <br /> 3. That the funds received pursuant to G.S. 136-44.27 will be used in a manner consistent with the <br /> local Transportation Development Plan and application approved by the NC Department of <br /> Transportation and the Board of Commissioners. <br /> 4. That any interest earned on these funds will be expended in accordance with G.S. 136-44.27. <br /> S. That the funds received pursuant to G.S. 136-44.27 will not be used toward the purchase of capital <br /> equipment. <br /> WITNESS my hand and official seal, this 5th day of_ August , 1996 . <br /> Attest: <br /> Certifying Offid Board of County Commissioners <br /> _ Chairperson <br /> State of North Carolina Cou ManagerlAdministrator <br /> County �rtrnq� <br /> Subscribed and sworn to me this /, day of_ u u--d 19 71 <br /> (SEAL) <br /> Notary Public <br /> My commission expires /2.--2 2— `18 ��D, &)It'd <br /> Address �!� <br /> *Note that the signatures on this statement should be those of four(4)separate in vidua�ls. 7�j� <br />