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LSTA GA Certification <br />California State Library LSTA GRANT AWARD #40-7803 <br />Fiscal Office <br />P.O. Box 942837 <br />Sacramento, CA 94237-0001 <br />Project Title: Our Lives are Our History: Documenting, Collecting, '& Preserving ... <br />System/Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE <br />CERTIFICATION <br />1. 1 affirm that the subgrantee named below is the legally designated fiscal agent for this <br />program and is authorized to receive and expend funds for the conduct of this program. <br />II. I affirm that all information provided to the California State Library for review in association <br />with this award is correct and complete to the best of my knowledge; that as the authorized <br />representative of the subgrantee, I have the legal authority to commit my organization to the <br />conditions of this award. <br />Ill. I affirm that any or all other subgrantees participating in the program have agreed to the <br />terms of the application/grant award, and have entered into an agreement(s) concerning <br />the final disposition of equipment, facilities, and materials purchased for this program from <br />the funds awarded for the activities and services described in the attached, as approved <br />and/or as amended in the application. <br />J?-?-- <br />SIGNED DATE <br />Authorized rep sentative <br />r-,%!Pt Nviw?n,( <br />Type or print name and title, of authorized representative <br />Legal name of local subgrantee <br />) t? alt.?, awe-c k, e W\SAC3 LA. <br />Project name as listed on the application <br />Street address of named subgrantee city <br />County Zip Code <br />Y Yvvvy <br />CoordinatorAXrector of program if different <br />51 k <br />WHO SHOULD RECEIVE NO <br />... (k - ^ <br />C-71C 5-71-- L-a-00 <br />Telephone of authorized rep. <br />t_ ( .J- sue.Lf <br />Telephone <br /> <br />TION OF APPROVAL OR <br />Of LSTA A <br />\v I?zut' I Itu I ?00t=>1 `mot' urx w_-,rvv??cC <br />WHO SHOULD RECEIVE INSTRUCTIONS FOR PREPARING REQUIRED REPORTS: <br />(Provide name, address and telephone number. Use back if needed.) <br />C44- Cs t <br />.0r3 <br />20A-11