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<br />Signature Authority <br /> <br />(For State Organizations) <br /> <br />AS THE <br /> <br />(SecretaryIDirector I President / Chancellor) <br /> <br />OF THE <br /> <br />(Name of State Organization) <br /> <br />I hereby authorize the following individual(s) to execute for and on behalf of the named state <br />organization, any actions necessary for the purpose of obtaining federal financial assistance provided by <br />the federal Department of Homeland Security and sub-granted through the Governor's Office of <br />Homeland Security. <br /> <br />(Name or Title of Authorized Agent) <br /> <br />, OR <br /> <br />(Name or Title of Authorized Agent) <br /> <br />, OR <br /> <br />(Name or Title of Authorized Agent) <br /> <br />Signed and approved this <br /> <br />day of <br /> <br />,20_ <br /> <br />(Official Position) <br /> <br />(Signature) <br /> <br />(Date) <br /> <br />FY06 Homeland Security Grant Program <br /> <br />Page 38 <br /> <br />