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FY2004-2005 CT Application <br />FederaUState Certifications <br />USE LOCAL LETTERHEAD STATIONARY <br />SAMPLE LOC,4L SHARE CERTIFICATION FOR FUNDING <br />(ALL APPLICANT'S 1t1L'ST PRESEl~'l AND RETURN THIS SIGNED FOR!l1 IW'ITHAPPLICA'1'IOI'V) 5 <br />I, the undersigned representing The County of Orange , do hereby <br />(Authorized ApplicantlSubrecipient) <br />certify to the North Carolina Department of Transportation that the required local funds for the FY2005 <br />Community Transportation Program are available. <br />We are applying for the following amounts: <br />Project Total Amount Local Share <br />Administrative /Emp Dev. $ 191,221 $ 28.638 (15%) <br />Capital (Vehicles & Other) $ 0 $ (10%) <br />Facility $ 0 $ (10%) <br />Technology $ _ 5200 $ 520 (10%) <br />TOTAL $ 196,421 $ 29.158 <br />(Tot~Ml of Projects) (Total Local Share) <br />The Local Share is available from the fallowing sources: <br />Source of Funds Amount <br />Orange County General Funds $ 29,158 <br />TOTAL <br /> <br />These funds will be available as of July 1, 2004 for the FY2005, which has a period of performance of July 1, 2004 - <br />June 30, 2005. <br />Signature of Applicant Authorized Official <br />Title <br />Printed Name <br />Date <br />VV <br />Section II <br />Page 13 of 19 <br />