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State of Florida <br />Department of Community Affairs <br />Division of Housing and Community Development <br />Bureau of Community Assistance <br />2555 Shumard Oak Boulevard <br />Tallahassee, Florida 32399 <br />CERTIFICATION OF ACCEPTANCE/ <br />REQUEST FOR PAYMENT OF SUBGRANT AWARD <br />The subgrantee, through its authorized representative, acknowledges receipt and acceptance <br />of subgrant award number 00-CJ-G3-11-23-02-082, in the amount of $1,000, for a <br />project entitled: <br />Procedural Manual Project <br />for the period of 03/01/2000 through 08/31/2000 , in accordance with the Project Budget <br />Schedule and Project Budget Narrative contained in the subgrant application, and subject to <br />the Department of Community Affairs' Conditions of Agreement and any special conditions <br />governing this subgrant. <br />By execution of this Certification of Acceptance/Request for Payment, the subgrantee requests a <br />lump sum payment of the subgrant. <br />(Signature of Authorized Official) (Date of Acceptance) <br />(Typed Name and Title of Official) <br />DCA-CJ Form 1 (June, 1985) <br />