Laserfiche WebLink
AUTHORIZATION <br />Acceptance of this application may be subject to subsequent compliance reviews, including a review <br />of the latest audit of financial statement. Preparation of an application does not guarantee that <br />applicants will receive funds. By signing this grant application form the undersigned certifies that all <br />inform ~1 ': ~c ~te 0 the best of his/her knowledge. <br />/~ r 8/8/2017 <br />Signatu r of A ~ horized Representative Date <br />3