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OFFICE of <br />ECONOMIC OPPORTUNITY <br />Community Services Block Grant [CSBG] <br />Documentation of Submission to County Commissioners <br />Background The North Carolina Administrative Code [10A NCAC 97C.0111 (b)(1)(A)] requires that each CSBG grant <br />recipient submit its Community Anti - Poverty Plan [grant application] to each County Commissioner Board that it serves. <br />Instructions This form is to be completed and notarized by the Clerk to the Board. <br />Agency Name: Salisbury Rowan Community Action Agency <br />County: — _ Cahnrrug <br />Date of Application Submission: <br />[Note: This application should be submitted to the County Commissioners at least thirty [301 days prior to application submission to the <br />Office of Economic Opportunity [OEO). The grant application is due to OEO January 31, 2014. <br />Clerk to the Board should initial all items below. <br />The agency submitted a complete grant application for Commissioner review. <br />The Clerk to the Board will be responsible for assuring that the application is distributed to the <br />Commissioners. <br />Commissioners' comments provided those to the agency. (If applicable) <br />Clerk to the Board <br />Witness /Notary <br />Date <br />Date <br />G -2 <br />Attachment number 2 <br />Page 371 <br />