Orange County NC Website
Browse       Search
11 <br />Reimbursement Funding Or Declination Form <br />For The <br />U.S. Department of Homeland Security (DI3S) <br />FY2003 State Homeland Security Grant Program (SHSGP) <br />Orange County <br />The local government may elect to participate in the grant program and receive grant funds or the <br />local government may decline to participate in the grant program and elect not to receive grant <br />funds. Please sign this form in the space provided indicating whether the local government <br />elects to receive grant funds or declines grant funds. If the local government declines any <br />portion of the grant, the grant funds will be redistributed to other local governments. <br />A. Equipment: Ninety Nine Thousand Six Hundred Seventy Four Dollazs ($99674) <br />The local government Accepts Equipment funding. <br />Signature of the Chair <br />Of the County Commissioners <br />The local government Declines to receive Equipment funding. <br />Signature of the Chair <br />Of the County Commissioners <br />B. Exercises: Sixteen Thousand Six Hundred Ninety Six Dollars ($16696) <br />The local government Accepts Exercises funding. <br />Signature of the Chair <br />Of the County Commissioners <br />The local government Declines to receive Exercises funding <br />Signature of the Chair <br />Of the County Commissioners <br />C. Training: Five Thousand Two Hundred Fifty Five Dollars ($5255) <br />The local government Accepts Training funding <br />Signature of the Chair <br />Of the County Commissioners <br />The local government Declines to receive Training funding <br />Signature of the Chair <br />Of the County Commissioners <br />DHS FY2003 SHSGP Memorandum of Arzreement Annex A: ReimbursemenUDeclination Form Page 2 of 1 <br />