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Application Signature Page <br />Instructions: The local CEO and local board chair must sign and date this form. <br />Include the original signatures in the application package. <br />By signing the application below, the local CEO and local board chair request initial <br />designation of the existing local area and initial certification of the existing local board. <br />They certify that the local area has performed successfully and sustained fiscal integrity <br />during PYs 2012 -13 and 2013 -14. Additionally, they agree to abide by the local area <br />assurances included in this application. <br />Local Workforce Investment Board Chair <br />Signature <br />Lee Mc Murtray <br />Name <br />Chair, Santa Ana WIB <br />Title <br />Date <br />Page 8 of 8 <br />21A -10 <br />Local Chief Elected Official <br />Signature <br />Miguel Pulido <br />Name <br />Mayor, City of Santa Ana <br />Title <br />Date <br />