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California State Library <br />Fiscal Office <br />P-0.942837 <br />Sacramento, CA 94237-0001 <br />LSTA GA CERTIFICATION <br />LSTA GRANT AWARD # 40-7979 <br />Project Title: "For Your Info Santa Ana/Para su info Santa Ana" Youth Media Ambassadors Digital <br />Media Production Project <br />System/Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE coup Vu <br />CERTIFICATION <br />I affirm that the subgrantee named below is the legally designated representative for this <br />program and is authorized to receive and expend funds for the conduct of this program. <br />11. 1 certify 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 <br />authorized representative of the subgrantee, I have the legal authority to commit my <br />organization to the conditions of this award. <br />III. I certify 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 />SIGNED <br />Authorized <br />DATE el) I ?- -"r <br />?Cu?i F ©1aOvor, '?cx V--?Px ac \04 ct"IJ <br />Type or print name and title of authorized representative <br />5o-v aAy,\, ?tL1oCtc t? ? N <br />Legal name of local subgrantee <br />>%tat <br />Project name as <br />on the application <br />Street address of named subgrantee city <br />0`S!t c CA Zr?Code Tel ht q) I DL- -i - 5ocke <br />Zip Code of authorized rep. <br />?` ? \rYtC?,?' <br />Coordinator/Director of program, if different <br />Type or print name and title of author ed representative <br />WHO SHOULD RECEIVE INSTRUCTIONS FOR PREPARING REQUIRED R <br />1:-1t4-) L?+1-?? ?N <br />Telephone <br />RTS: <br />20A-12