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r S1;A;f w Of FLORIDA <br /> INUTAN RIVI€R COUNTY — <br /> ffil § IS TO CERTIFYTHAT THIS IS <br /> TN@ ® CF <br /> RICINA AN FILE IN THIS <br /> � � FIOR <br /> SECTION I - CLOSEOUT APPROVAL JRF REY K. TON , a.ERIs <br /> All grant recipients must complete this form . R� �^ DOC * <br /> I certify that , to the best of my k ;- s�un er aken by the Recipient with funds <br /> under this grant agreement hav'e - been carried out ain_ accordance with the grant agreement , that <br /> proper provision has been made .for 06., .ayrnent bf, alt paid costs identified ; that the State <br /> of <br /> Florida is under no obligation to make further payment .-to the Recipient under the grant agreement <br /> in excess of the amount identified 6n Line .1K4 , bf° the STATUS OF ACCOMPLISHMENTS AND <br /> EXPENDITURES form submitted with th.is.clos,66utt package.; that every statement and amount set <br /> forth in this instrument is true and tcrrect 9,of %6his date ; that all required audits as of this date <br /> have been submitted and approved ; and I acknowledge that the DCA reserves the right to recover <br /> any disallowed costs identified in an audit completed after this closeout . <br /> Chief Elected Official <br /> S� 0��`— •° move <br /> 00 • • , / 9 <br /> Signature <br /> O • 3 <br /> O • 3 <br /> Bob Solari , Board of County Commissioners Chairman OR a Q <br /> Name and Title <br /> Indian River County • • z � <br /> Local Government ``R RCO ° <br /> °puN4UNUMUa = i I VEE AS TO FORM <br /> 2 - I at�44 LEGAL FF IE CY <br /> Date <br /> tfi � <br /> 4YP Fiet9. 33x41`. 691®® +��7® A® <br /> ,�GI ,� IP COLIN t S' ATTORNEY <br /> For DCA use only , <br /> Approval of this Closeout Package authorizes the deobligation of unexpended CDBG contract funds in the <br /> amount of $ <br /> Division of Housing and Community Development DCA Finance and Accounting Section <br /> Name and Title Name and Title <br /> Date Date <br /> F : \Community Development\CDBG\ DRI Wilma\Closeout\ FINAL Closeout 8 Amendment Form s\CloseoutDocum ents for IRC Hurricane Wilma CDBG . docx <br /> 13 <br /> i <br /> i <br />