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Grant Agreement <br />Page 2 <br />Grantee afrer Ehe Grantee presents an invoice for the services actually performed and the State's Authorized <br />Representative accepts ihe in��oiced services and in accordance with the Grant Program Guidelines. Payment <br />���i[1 not be made if the Grantee has not satisfied reporting requirerrients. <br />Certification Reg�rrdirrg Lobbyrng: (If applicable.) Grantees receiving federal funds over $100,000.b0 must <br />complete and return the Ce�tification Regarding Lobbying form provided by the 5tate to the Grantee. <br />1. E1ICFJMBRANCE VERIFICA'FION <br />Indit�idaral certrfres thal ftrnds have been encumbered us <br />regiiired by Rfinn. Stat. §§ I6R. ]5 and 16C.O.i. <br />Signed: <br />Date: <br />Crant Agreement No. 2010-JAGR-00281/6300-2066 <br />z. cRarrr�� <br />The Granlee certifres 1ha1 Ihe apprapriaie person(sJ <br />have exect�ted !he grant agreement on behalf of the Cranfee <br />as reqz<ired by applicable arlicles, bylaws, resohrtions, or ordinances <br />S)': <br />Title: <br />Date: <br />� <br />Title; <br />D�te <br />IaPS Grant Agreement non-state (09108) <br />3. S7'ATE AGENCY <br />Sy: <br />(with delegaied authority} <br />Title: <br />Date: <br />�istribution: DPS/FAS <br />Grantee <br />5tate's Authorized Representative <br />