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CALIFORNIA STATE LIBRARY (6)-2016
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CALIFORNIA STATE LIBRARY (6)-2016
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Last modified
3/30/2020 8:46:43 AM
Creation date
7/18/2012 10:45:09 AM
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Template:
Contracts
Company Name
CALIFORNIA STATE LIBRARY
Contract #
A-2012-026
Agency
LIBRARY
Council Approval Date
2/21/2012
Expiration Date
8/31/2012
Destruction Year
2017
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? . K <br />California State Library <br />Fiscal Office <br />P.O.942837 <br />Sacramento, CA 94237-0001 <br />LSTA GA CERTIFICATION <br />LSTA GRANT AWARD # 40-8024 <br />Project Title: Literacy on the Move: Enhancing Literacy Skills Throughout the Community <br />System/Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE <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 />I 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 />Ill. 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 />G <br />Authorized rebresentative <br />DATE _/-/ 6 - // <br />Type or print name and title of authorized representative <br />Legal name of local subgrantee <br />Project name as listed on the-Application <br />N?o 4\.Q- <br />Street address of named subgrantee city <br />DV ck "I <br />-7 1 lit ((>` ?- ?1(? <br />County Zip Code Telephone of authorized rep. <br />Coordinator/Director of program, if different <br />Type or print name and titl of authorize representative <br /> <br /> <br />JIti (v 4`1-sue <br />Telephone <br />WHO SHOULD RECEIVE INSTRUCTIONS FOR PREPARING REQUIRED REPORTS: <br />(Provide name, address and telephone number. Use back, if needed)
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