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STATE HISTORIC PRESERVATION OFFICE <br /> CERTIFICATION OF MATCHING SHARE FORM <br /> for <br /> HISTORIC PRESERVATION FUND GRANTS <br /> PROJECT : <br /> GRANTEE : <br /> CERTIFYING OFFICIAL / TITLE : <br /> ADDRESS / PHONE : <br /> CERTIFICATION STATEMENT : <br /> As the official representative of the GRANTEE listed <br /> above , I certify that the required nonfederal funds , <br /> consisting of $ in cash , and ( if applicable ) <br /> $ of in -kind services , are available to match <br /> the Historic Preservation Fund grant which is reserved <br /> for the project noted above . <br /> I further certify that this matching share has not been <br /> designated for any other purpose . <br /> I understand that all costs charged to the grant <br /> project will be in payment of budget items approved by <br /> the State Historic Preservation Office , and which occur <br /> during the project period . An adequate f inancial <br /> management system ( and audit procedure when deemed <br /> applicable ) will be maintained which provides efficient <br /> and effective accountability and control of all <br /> property , funds and assets <br /> Notice to non - governmental grantees : please attach a <br /> statement of deposit from a local bank ( prepared on <br /> bank letterhead ) ` verifying that funds are available . <br /> Signed : <br /> Date : <br />