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Attachment D4 <br /> Department of Community Affairs <br /> Division of Emergency Management <br /> 2555 Shumard Oak Boulevard <br /> Tallahassee , Florida 32399-2100 <br /> Final/Closeout Report <br /> Date Report Submitted : Report Due Date : <br /> Grantee : Agreement Amount.- <br /> Agreement <br /> mount:Agreement #: Agreement Period : <br /> Funds Received <br /> ( Corresponds with Re • - Invoices <br /> (q) ( B) FINANCIAL STATUS <br /> Date/ Grantee's Amount <br /> Invoice # <br /> 2 Agreement Amount <br /> 3 Less Total Funds Received Under <br /> 4 This Agreement ( column B , line 7 ) <br /> 5 <br /> Balance of Agreement ( Funds <br /> 6 Unused by Grantee/Funds to be <br /> L7 Total <br /> Deobligated ) + <br /> I hereby certify that the costs are true and valid costs incurred in accordance with the project Agreement and <br /> were utilized toward the project in this Agreement. <br /> The above Balance of Agreement, if applicable , will not be used by the Grantee for this project Agreement <br /> and can be deobligated from this project Agreement by the Department. <br /> Signature of Grantee Contract Manager or Financial Officer <br /> Date <br /> 31 <br />