Updated  10/13/06

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EXHIBIT E

 

FLORIDA INLAND NAVIGATION DISTRICT

 

ASSISTANCE PROGRAM

 

 

Project Completion Certification

 

 

Sponsor:___________________________________________________________________

 

Project Title:___________________________________   Project #:___________________

 

 

          I hereby certify that the above referenced project was completed in accordance with the Waterway Assistance Program Project Agreement between the Florida Inland Navigation District and ______________________________________________, dated _______________________, 20_____, and that all funds were expended in accordance with Exhibit "B" and Paragraph 1 of the Project Agreement. *

 

 

 

Project Liaison Name:_______________________________________________________

 

Project Liaison Signature:____________________________________________________

 

Date:_________________________

 

 

 

 

 

 

 

 

 

*S. 837.06 Florida Statutes, False official statements. - Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083 F.S.

 

FIND Form No. 90-13

(Effective Date: 12-17-90, Revised __-__-02)

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