My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2006-280
CBCC
>
Official Documents
>
2000's
>
2006
>
2006-280
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2016 10:33:34 AM
Creation date
9/30/2015 9:57:29 PM
Metadata
Fields
Template:
Official Documents
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
20
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Grant Manager' s Certification <br /> of Disbursement Request <br /> I, <br /> (name of Grantee' s Grant Manager designated in the Agreement) <br /> on behalf of , do hereby certify that: <br /> (name of Grantee/Recipient) <br /> 1 . The disbursement amount requested on Page I of this form is for allowable costs for the project described in the <br /> Agreement. <br /> 2. Materials, labor, equipment, and/or services representing costs included in the amount requested have been <br /> satisfactorily purchased, performed or received, and applied toward completing the project; such costs are <br /> documented by invoices or other appropriate documentation which are filed in the Grantee' s permanent records. <br /> 3 . The Grantee is required to pay such costs under the terms and provisions of contracts relating directly to the project, <br /> and the Grantee is not in default of any terms or provisions of the contracts. <br /> 4 . All funds received to date have been applied toward completing the project. <br /> 5 . All permits and approvals required for the construction which is underway have been obtained. <br /> ( Signature of Grant Manager) <br /> (Date) <br /> DEP Agreement No. LP6734, Attachment B, Page 2 of 3 <br />
The URL can be used to link to this page
Your browser does not support the video tag.