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7 <br />,~~~~, <br />. - ~~ <br />~ ~` <br />Grantee: <br />Address: <br />Federal !D No.: <br />Account No.: <br />Gran# Period: <br />Project: <br />STATE OF NORTH CAROLINA <br />DEPARIMENT OF CRIME CONTROL AND PUBLIC SAFETY <br />Division of Emergency Management <br />Physical Address: 116 West Jones SUeet, Ralelgh NC 27803-1300 <br />Mailing Address: 4713 Mail Service Center, Ralelgh, NC 27699-4713 <br />SUPPLEMENTAL COST REPORT - FY 2007 <br />EMERGENCY MANAGEMENT <br />PERFORMANCE GRANT <br />ORANGE COUNIY EMERGENCY MANAGEMENT <br />PO BOX 8181 <br />HILLSBgROUGH NC 272~8- <br />56-600032'7-A <br />4701-53692000001-1510512 <br />10101/06 -~ 09/30/08 <br />EMPG <br />Funding ~ ~~ <br />Worksheet Additional <br />Supplemental Award <br />Federal $7,639.31 <br />Match ~ $0..00 <br />7ota1 $7,639,31 <br /> <br />Certification: <br />i certify the above are correct, based on grantee's official accounting system and records, conslstarrtty applied and maintained, and that expenditures <br />shown have been made for the purpose of and in accordance with, applicable grant terms and conditions, and thaf appropriate documentation io support <br />these casts and expenditures is available or attached <br />ORANGE COt7NT'Y EMERGENCY MANAGEMENT' Authorized Signature Date <br />Division of Emergency Management Assistant Director's Approval Signature Dete <br />Department of Crime Control and Public Safety Controller's Office Approval Date - <br />Printed: 9/24120071:59:25 PM County 117: 37135 <br />