Agenda - 12-02-2013 - 5a - Laserfiche WebLink

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DOC Approval Are there any unpaid costs or unsettled third party claims against the recipient's grant? Type "yes" or "no." No If yes, in the box below describe the circumstances and amounts involved. ' DOC Use Only) Please note that all financial records, supporting documents and other records pertinent to the community development program must be retained for a minimum of five (5) years from the date of this letter. This grant is closed pending receipt and approval of your final audit by Community Investment and Assistance (CI). Town Jt--I� City H Q County It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on page 1 hereof, have, to the best of my knowledge, been carried out in accordance with the grant agreement; that proper provisions have been made by the Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof; that the State of North Carolina is under no obligation to make any further payment to the Recipient under the grant agreement in excess of the amount identified on Line 7 hereof; and that every other statement and amount set forth in this instrument is, to the best of my knowledge, true and correct as of this date. Date Typed Name and Title of Recipient's Signature of Recipient's Authorized Representative Authorized Representative Barry Jacobs We) Chair, Board of County Commissioners Tit e DOC Approval This Certification of Completion is hereby approved. Therefore, I authorize cancellation of the unutilized contract commitment and related funds reservation and obligation of $ less $ previously authorized for cancellation (from Section 6, line 6, page 1). Date Typed Name and Title of DOC Signature of DOC's Authorized Representative Authorized Representative Vickie L. Miller Director