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STATE OF NORTH CAROLINA <br /> DEPARTMENT OF PUBLIC SAFETY <br /> North Carolina Emergency Management <br /> Physical Address: 1636 Gold Star Drive, Raleigh, NC 27607-3371 <br /> Mailing Address:4236 Mail Service Center, Raleigh,NC 27699-4236 <br /> COST REPORT 2 - FISCAL YEAR 2014 <br /> EMERGENCY MANAGEMENT <br /> PERFORMANCE GRANT <br /> Grantee: Orange County Emergency Services <br /> Address: 510 Meadowlands Drive <br /> Hillsborough NC 28278- <br /> Federal ID No.: <br /> Account No.: <br /> Grant Period: 10/01/13 -09/30/15 <br /> Project: EMPG <br /> Grant File No: EMPG-2014-37135 DUNS No.: 091575191 Branch: Central <br /> Funding 2014 EMPG Universal Amount Optional Amount SATCOM Balance to be Paid <br /> Worksheet Final Amount (Previously Paid) Deductions <br /> Federal/State $51,707.20 $35,000.00 $17,595.35 $888.15 $16,707.20 <br /> Local Match $52,595.35 $35,000.00 $17,595.35 $0.00 $17,595.35 <br /> Total $104,302.56 $70,000.00 $35,190.71 $888.15 $34,302.56 <br /> This Final Cost Report reflects completed and approved Optional amounts by your Emergency Management program minus <br /> SATCOM Deductions to give a final Balance to be Paid amount. SATCOM Deductions are from January 1, 2014 to <br /> December 31, 2014 and reflect all charges for SATCOM use.. This Optional Amount can be used for enhancing your local <br /> emergency management program. <br /> This Cost Report require appropriate signatures and return to the state for payment. Payment will be made once all <br /> signatures have been completed and processed. This funding reimburses your county for eligible EMPG work. <br /> Certification: <br /> I certify the above are correct, based on grantee's official accounting system and records, consistently 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 that appropriate documentation to support <br /> these costs and expenditures is available or attached. ff <br /> -CaO4��, T�/,'A()rang ounty Fin ce fi r uthorized Signature Date q <br /> Orange C:? ty mergency ervices Authorized Signature Date <br /> \orth Carolina Emergency Management Director's Approval Signature Date <br /> Department of Public Safety Controller's Office Approval Date <br /> Printed: 1/21/2015 8:50:05 AM 2014 Cost Report 2 <br />