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California State Library <br />Fiscal Office <br />P-0.942837 <br />Sacramento, CA 94237 -0001 <br />LSTA GA CERTIFICATION <br />LSTA GRANT AWARD # 40 -7979 <br />Project Title: "For Your Info Santa Ana /Para su info Santa Ana" Youth Media Ambassadors Digital <br />Media Production Project <br />System /Agency: Santa Ana Public Library <br />PLEASE COMPLETE AND RETURN THIS PAGE coup Vu <br />CERTIFICATION <br />I affirm that the subgrantee named below is the legally designated representative for this <br />program and is authorized to receive and expend funds for the conduct of this program. <br />1!. I certify that all information provided to the California State Library for review in association <br />with this award is correct and complete to the best of my knowledge; that as the <br />authorized representative of the subgrantee, I have the legal authority to commit my <br />organization to the conditions of this award. <br />III. I certify that any or all other subgrantees participating in the program have agreed to the <br />terms of the application /grant award, and have entered into an agreement(s) concerning <br />the final disposition of equipment, facilities, and materials purchased for this program from <br />the funds awarded for the activities and services described in the attached, as approved <br />and /or as amended in the application. <br />SIGNED <br />Authorized <br />DATE el) ! �- — "r <br />©1a Oy r, V--�Px ac \0 4 ct"IJ <br />Type or print name and title of authorized representative <br />50-v a� �tL1oC�c t� � N <br />Legal name of local subgrantee <br />>% tat <br />Project name as <br />on the application <br />Rio aglec C.0 *Akyl <br />Street address of named subgrantee City <br />0`S!t c CA Zip Code Telephone h t q) I DL- -i - cke <br />5o <br />p of authorized rep. <br />Coordinator /Director of program, if different <br />Type or print name and title of author ed representative <br />WHO SHOULD RECEIVE INSTRUCTIONS FOR PREPARING REQUIRED R <br />41yils V` <br />1: -1t4-) L�+1-���N <br />Telephone <br />RTS: <br />