Laserfiche WebLink
ATTACHMENT F <br /> CERTIFICATION OF APPLICABILITY TO SINGLE AUDIT ACT REPORTING <br /> Grantee ' s Name : <br /> Grantee ' s Fiscal Year Period : FROM : TO : <br /> Total State Financial Assistance Expended during Grantee ' s most recently completed Fiscal <br /> Year : $ <br /> Total Federal Financial Assistance Expended during Grantee ' s most recently completed Fiscal <br /> Year : $ <br /> Please identify grants to be included in the Single Audit that are provided by the Department of <br /> Environmental Protection <br /> CSFA# CFDA# DEP GRANT AGREEMENT NUMBER <br /> CERTIFICATION STATEMENT : <br /> I hereby certify that the above information is correct : <br /> Name Date <br /> Title <br /> DEP Agreement No . 071R2 , Amendment No . 1 , Attachment F , Page 1 of 1 <br />