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DocuSign Envelope ID: 4F49ED83-A0E8-4535-BBB4-F1419D233380 <br />Attachment 1-D <br />Agreement # P0307 <br />Page 30 of 37 <br />Rev. 9/27/18 <br />83 <br />Rich Scott <br />ECONOMIC <br />Grant Agreement <br />Ci;,v l'rr,rtllr <br />Form <br />FLORIDA DEPARTMENT <br />OPPORTUNITY <br />Final Closeout <br />FLAIR Contract ID: <br />Contract Amount <br />Deobligated Funds <br />Final Contract Amount <br />$0.00 <br />Recipient Name: <br />Vendor ID: <br />50.00 <br />Contract End Date: <br />$0.00 <br />Section A: Financial Reconciliation <br />1. Total Recipient Funds Received from DEO <br />2. Total Recipient Expenditures <br />3. Balance of Unexpended Program Income (from Section B) <br />4.1 negative, this amount must be refunded to the Department. If positive, this amount is to be remitted to <br />50.00 <br />$0.00 <br />$0.00 <br />50.00 <br />the Recipient. <br />Section B: Statement of Recipient Income <br />0 There was no recipient income earned under this contract. <br />® The following recipient income was earned under this contract. <br />Desalptlon of Recipient Income <br />Source <br />Amount <br />Expended <br />Balance <br />Total Program Income <br />$0.00 <br />50.00 <br />$0.00 <br />Section C: Property Inventory Certification <br />•• No tangible property was purchased in the contract period. <br />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 />Description of Property Innen ory <br />Description and Serial Number <br />Quantity <br />Acquisitions <br />Condition <br />location <br />Cost <br />Date <br />Section D: Recipient Certification <br />By signing below, I certify, that the above representations for Financial <br />accurate. <br />Name: <br />Reconciliation, <br />Recipient Income, and Property Inventory are true and <br />Signature: <br />Title: <br />Date Signed: <br />Section E: DEO Internal Review and Approval <br />By signing below, I certify, that the above representations for Financial <br />accurate. <br />Name: <br />Reconciliation, <br />Recipient Income and Property Inventory are true and <br />Signature: <br />Title: <br />Date Signed: <br />Date Updated: September 29, 2015 <br />Page 30 of 37 <br />Rev. 9/27/18 <br />83 <br />