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California State Library LSTA GA CERTIFICATION <br />Fiscal Office LSTA GRANT AWARD # 40 -8025 <br />P.O.942837 <br />Sacramento, CA 94237 -0001 <br />Project Title: Digitizing Yourself into the Internet Community <br />System /Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE <br />CERTIFICATION <br />I. l affirm that the subgrantee named <br />the legally <br />funds designated <br />conduct of this program's <br />program and is authorized to receive p <br />I I. l certify that all information provided California best of my knowaedge; that as in <br />thessociation <br />with this award is correct and complete to the <br />authorized representative of the subgrantee, I have the legal authority to commit my <br />organization to the conditions of this award. <br />SIGNED <br />the <br />i certify that any or all others{ aWra deand havelpent gad into an agreement(s) t(s) conce�n ng <br />terms of the application /gran , <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 />Authorized representative <br />- Type or print name and title of authorized representative <br />JLegal name of local subgrantee <br />DATE <br />Project name as listed on the app cation <br />�U441- "A <br />Street address of named subgrantee City <br />County Zip Code Telephone of authorized rep. <br />o \w�ri,,r <br />CoordinatorlDirector of program, if different <br />`�V C <br />Type or print name and title <br />authorized r�resentative <br />S*Vii 04, <br />WHO SHOULD RECEIVE INSTRUCTIONS FOR PREPARING REQUIRED <br />(Provide name, address and telephone number. Use back, if needed) <br />41l_d_K <br />-114- L041 <br />Telephone <br />