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Generated Date: 01/31/2023 20:02 <br />Federal Emergency Management Agency <br />Project Completion and Certiflcation Report (P.4) <br />Disaster: FEMA -3533 -DR -FL <br />Applicant FIDS ID: 061-99061-00 Applicant/Subdivision Name: INDIAN <br />J�� .. • o�rnfiee <br />I hereby cem t the best of my knowledge and belief all work and'cQtgcl are eligib • ' ac6'dnce <br />D <br />"PS <br />the grant condi ' all hest <br />cla'PAPT <br />❑ completed, and all toys et�imed en paid ' II. , cP <br />Signed: Date: ••: <br />Ap sAuthorized le,resentative <br />Name of Applicant's Authorized Representative <br />Title of Applicant's Authorized Representative <br />9 N F-1EINlaOL0 <br />00VN T Y tV!-Tr7RNEY <br />-f, iF FLORIDA <br />tiro+AN AIvR COUNTY <br />1r18 18 TQtOTIFY THAT THIS 18 A TRUE AND CORRECT <br />DOPY OF H ORIAIN ON FI THIS OFFICE. <br />J FF R. IT , C K <br />BY ^^ D.C. <br />DATE �cpill ;L <br />with I certify that all funds were expended in accordance with the provisions of the signed FEMA -State <br />Agreement and I recommend an approved amount of $ <br />Signed: <br />Govemor's Authorized Representative <br />Attest: Jeffrey R. Smith, Clerk of <br />C;:IaDeputy <br />• <br />By., <br />Date: <br />