Laserfiche WebLink
North Carolina Department of Agriculture and Consumer Services <br />State Certifications and Assurances Section <br />B. The grantee must provide the location site(s) for the performance of work done in connection with the specific <br />grant. <br />Place(s) of Performance (Street address, city, county, state, zip code) <br />As the duly authorized representative of the applicant, I hereby certify that the applicant <br />will comply with the above certifications. <br />GRANTEE ORGANIZATION NAME: <br />PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE: <br />SIGNATURE: DATE: <br />CONTRACT NUMBER: <br />Page 4 of 4 <br />Attachment number 3 <br />F -6 Page 152 <br />