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AUTHORTZATTON <br />Acceptance of this application may be subject to subsequent compliance reviews, including a <br />review of the latest audit of financial statement. Preparation of an application does not <br />guarantee that applicants will receive funds. By signing this grant application form the <br />undersigned certifies !!,*all lnformatign is accurate to the best of his/her knowledge. <br />q <br />Slgnature of Authorized Representative <br />3