HomeMy WebLinkAboutS Renewal Application for elderly & Disabled Transportation Assistance Program RETURN THIS COPY TO THE CLERK'S OFFICE
FOR THE PERMANENT AGENDA FILE e/!
s/96
State of North Carolina, County of orange
Appendix B
Certified Statement
Pursuant to G.S. 136-44.27, the North Carolina Elderly and Disabled Transportation
Assistance Program, this is to certify that the undersigned is the duly elected, qualified and
acting chairperson of the Board of County Commissioners of the County of
Orange North Carolina,
and that the following statements are true and correct:
1. That the funds received pursuant to G.S. 136-44.27 will be used to provide additional transportation
services for the elderly and disabled, exceeding the quantity of trips provided prior to the receipt of
these funds.
2. That the funds received pursuant to G.S. 136-44.27 will not be used to supplant existing Federal,
State or local funds designated to provide elderly and disabled transportation services in the county.
3. That the funds received pursuant to G.S. 136-44.27 will be used in a manner consistent with the
local Transportation Development Plan and application approved by the NC Department of
Transportation and the Board of Commissioners.
4. That any interest earned on these funds will be expended in accordance with G.S. 136-44.27.
S. That the funds received pursuant to G.S. 136-44.27 will not be used toward the purchase of capital
equipment.
WITNESS my hand and official seal, this 5th day of_ August , 1996 .
Attest:
Certifying Offid Board of County Commissioners
_ Chairperson
State of North Carolina Cou ManagerlAdministrator
County �rtrnq�
Subscribed and sworn to me this /, day of_ u u--d 19 71
(SEAL)
Notary Public
My commission expires /2.--2 2— `18 ��D, &)It'd
Address �!�
*Note that the signatures on this statement should be those of four(4)separate in vidua�ls. 7�j�