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4 <br /> a) Amount of existing program income: $0.00 <br /> b) Amount of anticipated program income: $0.00 <br /> c) If program income exists or is anticipated,describe the proposed application(s): <br /> Are there any unpaid costs or unsettled third party claims against the recipient's grant? Type"yes"or"no." No <br /> If yes,in the box below describe the circumstances and amounts involved. <br /> ' DOC Use Only) <br /> Please note that all financial records,supporting documents and other records pertinent to the <br /> community development program must be retained for a minimum of five(5)years from the date of <br /> this letter. <br /> This grant is closed pending receipt and approval of your final audit by Community Investment and <br /> Assistance(CI). <br /> H Town <br /> Jt--I� City <br /> Q County <br /> It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on <br /> page 1 hereof,have,to the best of my knowledge,been carried out in accordance with the grant agreement;that proper provisions <br /> have been made by the Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof; <br /> that the State of North Carolina is under no obligation to make any further payment to the Recipient under the grant agreement in <br /> excess of the amount identified on Line 7 hereof;and that every other statement and amount set forth in this instrument is,to the <br /> best of my knowledge,true and correct as of this date. <br /> Date Typed Name and Title of Recipient's Signature of Recipient's <br /> Authorized Representative Authorized Representative <br /> Barry Jacobs <br /> We) <br /> Chair,Board of County Commissioners <br /> Tit e <br /> DOC Approval <br /> This Certification of Completion is hereby approved. Therefore,I authorize cancellation of the unutilized contract commitment and <br /> related funds reservation and obligation of $ less$ previously authorized for cancellation <br /> (from Section 6,line 6,page 1). <br /> Date Typed Name and Title of DOC Signature of DOC's <br /> Authorized Representative Authorized Representative <br /> Vickie L.Miller <br /> Director <br />