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Cil <br />CU <br />representing <br />ATTACHMENT C <br />FISH AND WILDLIFE CONSERVATION COMMISSION <br />DIVISION OF MARINE FISHERIES <br />ARTIFICIAL REEF PROGRAM <br />CERTIFICATION OF COMPLETION STATEMENT <br />(Printed Name and Title) <br />(Name of Local Government or Nat -For -Profit Corporation) <br />do hereby certify under penalties of periury per § 216.349, Florida Statutes, that the artificial reef <br />project funded by Grant Number FWCC - has been completed in compliance <br />with all terms and conditions of said Grant Agreement. <br />Rev. 12199 <br />(Signature) <br />(Date) <br />