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40 <br />4W <br />I CERTIFY that I am familiar with the information contalned in this application, and to the best of my knowledge <br />and belief such Information is true, complete and accurate. I further certify that I possess the authority to apply <br />for this grant on behalf of this county.. <br />j --r,2(.-) 06-06-2000 <br />Signature of Authorized Representative Date <br />I'RAi3 B. ADAMS, CHA.LR111AN, BOARD OF OE}t3NlY COMMISSIONERS <br />For further information on the programs listed above in number 10, please contact Keep Florida Beautiful, Inc., <br />325 John Knox Road, M-240, Tallahassee, FL 32303, 904-3135-1528. <br />Please return this form to Bobby Adams, Solid Waste Section, Bureau of Solid & Hazardous Waste, <br />Division of Waste Management, Florida Department of Environmental Protection, Twin Towers Office <br />Building, Mail Station # 4565, 2600 Blair Stone Road, Tallahassee, FL 32399-2400 <br />Page 2 of 2 <br />5100 <br />���Gr <br />:s/ 31�rj •a <br />5100 <br />