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9 <br />SIGNATORY FORM AND CERTIFICATION <br />Recipient Name Orange Count <br />Address: P.Q. Box 8181 <br />Grant No. 00-C-0744 <br />Signatures of individuals authorized to sign Requisition for Funds fonns. (Two signatures required on each requisition.) <br />(Signature) <br />(Signature) <br />(Signature) <br />John M. Link, Jr., Count Mana er <br />(Typed Name) (Typed Title) <br />Roderick Visser, Asst. County Manager <br />(Typed Name) (Typed Title) <br />Kenneth T. Chavious,'Finance Director <br />(Typed Name) (Typed Title) <br />(Signature) (Typed Name) (Typed Title) <br />CERTIFICATION <br />1. () I certify that the signatures above are of the individuals authorized to sign Requisition for Funds form for the <br />above recipient. <br />Certifying Official + Title <br />2 () The goveming board has passed a resolution authorizing the persons above to sign Requisition for Funds forms <br />for the above recipient. A copy of the resolution is.attached. <br />I certify that the signatures above are those of the individuals authorized by resolution of the governing board <br />of the recipient to sign Requisition for Funds.forms. <br />Certifving Official + Title