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EMPLOYEE NAME: <br />PERIOD DATES: 10/1/2021 <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />20212072 EMERGENCY MANAGEMENT PERFORMANCE GRANT -ARPA <br />DIVISION FORM 6 -TIME AND EFFORT <br />This form Is required to accompany reimbursement claims for salaries charged so me grant <br />QUARTERLY REPORTING PERIOD: OcWbef 1 - December 31 <br />12/31/21 CLAIM M: <br />dy s'gmng this sport, 1 comfy to the best of my ano Wedge end belie/ that the mpof is true, complete, and ecc oste, and the axpanditum., disbursements end cash receipts em for the puryosss and objectives set forth <br />in the femur end conditions of the Falaml .nerd I am axes that any /else, fictitious, 0r fnudulant information, or the Omission of any Miiadel fact, may subject me to rnminel, civil w sbninistw- pomift s for tmud <br />false statementsfalse claims w otherwsa. (U. S. Coca Tdi, 18, Section 1001 emf Tiffs 31. Sections 3729-3730 end 3801-35/2). <br />�0000a00000©moon®® <br />©0©0©0000©0©00�� <br />�■000©0000©a00000�� <br />ire ' <br />00©0©000©©0©00� <br />BEER <br />��000ao©o�oao©000�� <br />0 <br />om <br />0000000000©o©000 <br />��000a000�0000000�� <br />© <br />o0 <br />0000©0000©0©00�� <br />�000000a�oo©0000�� <br />��00000©000©oa000m© <br />dy s'gmng this sport, 1 comfy to the best of my ano Wedge end belie/ that the mpof is true, complete, and ecc oste, and the axpanditum., disbursements end cash receipts em for the puryosss and objectives set forth <br />in the femur end conditions of the Falaml .nerd I am axes that any /else, fictitious, 0r fnudulant information, or the Omission of any Miiadel fact, may subject me to rnminel, civil w sbninistw- pomift s for tmud <br />false statementsfalse claims w otherwsa. (U. S. Coca Tdi, 18, Section 1001 emf Tiffs 31. Sections 3729-3730 end 3801-35/2). <br />