Laserfiche WebLink
California State <br />Fiscal Office <br />P.O. 942837 <br />Sacramento, CP <br />Library <br />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 <br />CERTIFICATION <br />1. 1 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 />II. 1 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. 1 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 />DATE f° ` i ?- -r/' <br />Type or print name and title of authorized representative <br />Legal name of local subgrantee <br />1 Ir S <br />Project name as listed on the application <br />Street address of named subgrantee city <br />()?S? CA ( .,'1- 53'1(t <br />County Zip Code Telephone 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 <br />-1 l 1k) ( yL -1 !E QQ ?q_ <br />Telephone <br />ORTS: