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DocuSign Envelope ID: D46D7F52-794F-4099-9ED2-B904C7A8FE19 <br />Ron DeSantis <br />GOVERNOR <br />At€achment 1-D <br />D <br />FLORIDA DEPARTMEKr4f <br />ECONOMIC OPPORTUNt1Y <br />Agreement # P0359 <br />Ren Lawson <br />EXECUTIVE DIRECTOR <br />GRANT AGREEMENT FINAL CLOSEOUT FORM <br />FLAIR Contract ID: <br />• AR con spmdahle wad aoa-console tangible prop" h nacg a useful lift of more tom one year and acquired at a <br />cost of $1,090 or moa peg alit eith grant fnods as listed bel u. I do hereby oertiEy Ont the pmpedyi v ntorp descabed <br />Recipient Name: <br />ContractAmount <br />One <br />Vendor ED: <br />Deob " ated Funds <br />Quantity <br />Contract End Date: <br />Final Contract Amount <br />Location <br />Section A. Financial Reconciliation <br />I. Total ' 'ent Funds Received from DEO <br />2. Total Recipient Expenditures <br />3. Balance of Unexpended Progmm Income from Section <br />4. If negative, this amount must be refunded to the Department If positive, this amount is to be remitted to the <br />Recipient <br />Section B: Statement of Recipient Income . <br />• .]112M ens no redpiera income eamed wades this contact <br />• 11M followtagovoynat income was cored ander this contact <br />Description of t Income <br />Source . Amount Expended Balance <br />Total Prograrn Income $0.00 $0.00 $0.00 <br />Section Q Propertv Inventory.Certification <br />• <br />No tangible propedFeu pfd in the eon period. <br />• AR con spmdahle wad aoa-console tangible prop" h nacg a useful lift of more tom one year and acquired at a <br />cost of $1,090 or moa peg alit eith grant fnods as listed bel u. I do hereby oertiEy Ont the pmpedyi v ntorp descabed <br />belowis wad oomct Rlr 5 on will be seat immediately to the Department of FoonomicOpportw3fty if any <br />changes aoaim in this iacem_aaF. I es'Il not dentin;, seB, or oOmrnise dispose of $es properly aithoat aattmpeunasion of <br />One <br />D tion of Invent <br />Destxiption and Sinal <br />Quantity <br />Acquisitions <br />Condition <br />Location <br />Number <br />Cast <br />Date <br />Section D. Rea "eat Certification <br />By signing below, I certify, that the above representations for Financial Reconciliation, Recipient Income, and Property Inventors are <br />true and accurate. <br />Name: <br />tare: <br />Title: <br />Date <br />Section E: DEO Internal Review and:Aa <br />By signing below, I certify; that the above representations for Frnaacial Reconciliation, Recipient Income, and Property Inventory are <br />true and accurate. <br />Name. Sigrsature: <br />Page 32 of 37 <br />Rev. 5/30/19. 149 <br />9 <br />