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ns + <br />Personn <br />el <br />Totals $5,000 $6,550 $30,578 $42,128 <br />Briefly explain your proposed use of funds: <br />To the best of my knowledge and belief all information and data in this <br />application is true and current. The document has been duly authorized by the <br />governing board of the applicant. <br />Signature:1/12/2023 <br />Executive Director Date <br />Signature:1/12/2023 <br />Board Chairperson Date <br />Application Signatures: Please submit a wet signature or electronic signature,MS <br />Word cursive fonts are not acceptable. <br />Cover Page Page 8 of 31 <br />DocuSign Envelope ID: 9F73F5ED-FE40-4DB1-BBAD-AF773010D285