Orange County NC Website
• <br /> 7. UNPAID CO5TS & UNSETTLED THIRD-PARTY CLAIMS -1 <br /> List any unpaid costs and unsettled third-party claims against the recipient's grant. Describe circumstances and amounts involved. <br /> N/A <br /> ❑ Check if continued on additional sheet and attach. <br /> 8. REMARKS <br /> 9. CERTIFICATION OF RECIPIENT <br /> It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on page <br /> 1 hereof, have,to the best of my knowledge, been carried out in accordance with the grant agreement;that proper provision has <br /> been made by the Recipient for the payment of all unpaid costs and unsettled third-party State of North Carolina is under no obligation to make any further Recipient ent under identified theigr on page 1 hereof;in excess <br /> that s <br /> of the amount identified on Line 7 hereof; and that every statement and amount set in this instrument tis, to then best of my <br /> knowledge, true and correct as of this date. <br /> DATE TYPED NAME AND TITLE OF RECIPIENT'S <br /> AUTHORIZED REPRESENTATIVE U HORIZEE REOF PRESENTATIVE <br /> RESE RECIPIENT'S <br /> Shirley E. Marshall, Chair <br /> AUTHORIZED REPRESENTATIVE <br /> Orange County Board of Comm]-SSioner <br /> 10. NRCD 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$ <br /> (from Section 6, line 5 less$ previously authorized for cancellation. <br /> page 1) <br /> DATE TYPED NAME AND TITLE OF NRCD <br /> AUTHORIZED OFFICIAL SIGNATURE OF NRCD <br /> AUTHORIZED OFFICIAL <br /> CDBG#118 (3-84) <br />