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LSTA GRANT AWARD # 40-8787 <br />Project Title: Youth Know: Community Social Innovation Project <br />System/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. 1 certify that any or all other subrecipients 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 applicatio <br />SIGNED �` DATE <br />Authorized re resentative <br />oY�aaass /11ouPr, ,,,K. � X4045, t, 2& '`rr <br />Type or print name and title of authorized representative"" <br />G&ouPr-,o ,04417¢,fr 66eC <br />E-mail address of authorized representative <br />This form, with signature, must be <br />returned to: <br />California State Library <br />Fiscal Office — LSTA <br />P.O. Office 942837 <br />Sacramento, CA 94237-0001 <br />55A-29 <br />