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California State Library <br />r is :al Office <br />I.3 °42837 <br />S,-, ;rarncanto, CA 94237-0001 <br />LSTA ?- , CERTIFICATION <br />LSTA GRANT AWARD # 40-8195 <br />Pr,;je:,t Title: The Santa Ana Civic Archive: Connecting Future Leaders to their Community's Civic <br />Est <br />Sysem'Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE <br />CERTIFICATION <br />I certify that I am the legally designated representative for this award and am authorized to <br />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 and will be correct and complete to the best of my knowledge; that as <br />the authorized representative of the grant award, 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 progreinn 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 />Authori4ed representative <br />DATE <br />Type or print Warne and title of authorized representative,' YY <br />E -ro,il address of authorized representative <br />Street address of named system/agency city <br />COL1131y Zip Code <br />Coot dir7atot-IDirector of prograrn, if different <br />Telephone of authorized rep. <br />Telephone of Coordinator/Director' <br />F <br />_???''rf??i?'Lr?-?l.,?`?".????,??;•,? ?Y.jC.?1???????? `??'+•??1?`?,?, ?''lff?-?t ?>+???'"? ???L?" ?C?`? ?" ?.,??..__„Z.. <br />WHO SHOULD RECEIVE NOTIFICATIONS, IF NEEDED, FOR REQUIRED REPORTS <br />Provide name. address and telephone number)