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Agreement # <br />Attachment 1-D <br />Rick Scott DEQCissy Proctor <br />GOVERNOR EXECUTIVE DIRECTOR <br />FLORIDA DEPARTMENT f <br />ECONOMIC OPPORTUNITY <br />Grant Agreement Final Closeout Form <br />FLAIR Contract to: <br />Recipient Name: Contact Amount $0.OD <br />Vendor m: Deobligated Funds $0.00 <br />Contract End Date: Final Contract Amount $0.00 <br />Section A: Financial Reconciliation <br />1Total Recipient Funds Received from DEO $0.00 <br />2 -Total Recipient Expenditures $o.00 <br />3. Balance of Unexpended Program Income (from Section BJ $0:00 <br />4.If negative, this amount must be refunded to the Department If positive, this amount is to be remitted to the Recipient $000 <br />Section B: Statement ofRecipient Income <br />0 There was norecipient Income eamedunder this contract. <br />The following recipient Income was earned under this contract <br />Description of Recipient Income <br />Source <br />Amount Expended <br />Balance <br />Description and Serial Number <br />Quantity <br />Acquisitions <br />Total Program income <br />$000 $O OD <br />$000 <br />CMie� C Preeerty tmenGhry fnAifi®tim <br />fi No tangible property was purchased in the contract period. <br />f All non -expendable and non -consumable tangible property having a useful life of more than one year and acquired <br />at a cost of $1,000 or more per unit with grant funds are listed below. I do hereby certify that the property inventory <br />described below is complete and correct Notification will be sent immediately to the Department of Economic <br />Opportunity if any changes occur to this inventory. I will not destroy, sell, or otherwise dispose of this property <br />without written permission of the Department <br />0 scriptionof ropertV Inventory <br />Description and Serial Number <br />Quantity <br />Acquisitions <br />Condition <br />Location <br />Cost Date <br />xcum ar meaprem axrurmoan <br />By sigrdng below, I certify, that the above representations for Financial Reconciliation, Recipient Income, and Property himmory are true and <br />Name: <br />Section E DEO internal Review and Approval <br />Signature: <br />Date Signed: <br />By signing below, l certify, that the above representations for Financial Reconciliation, Recipient income and Property inventory are true and <br />accurate. <br />Name: Signature• <br />Tide: Date Signed: <br />7015 <br />Rev. 6/1/18 7G2 <br />Page 30 of 37 9 <br />