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59468 Federal Register/Vol. 68, No. 199/Wednesday, October 15, 2003/Notices � <br /> Funding Matrix <br /> The appl(cant must provide the(unding matrix shown below,Itsting eaeh program for which HUO fundtng is being <br /> requested,and complete the ceRiHcaUons. <br /> Grant Program' HUO Applfcant Other HUO Other FeGera State LocaVTribal Other Progrom Total <br /> Share Match Funds Share Share Share Income <br /> HOME $500,000 500,00 <br /> �.Q� <br /> �.�� <br /> - �.�Q <br /> �.Q� <br /> GnndTotals $S���Q�� • O.00 O.00 O.00 O.oO O.00 0.0o O.00 5����� <br /> ' For FHIPs,show both initiative and component <br /> Certifications <br /> �cerUy,to the best of my knovvledge and belief,that no Federal appropr(ated funds have been paid,or wiil be paid,by or on behalt <br /> of fhe applkaM,to any person fur intluencing or aGemptlng to tnfluenee an offleer or empioyee of an age�cy,a Member of <br /> ��9�.�o�or employee ot Cangress.or an employee of a Membet of Congress,In�eetlon with the award(ng <br /> of this Federai grant or its extension,renewal,amendment or modification. If funds other than Federal appropriated funds have <br /> ot w�be paid for fnMienqng or aGemptlnq to tnfluence the persons Itsted above.I shall complete and submit Standard Forto-LLL, <br /> Disdosure Furm tc Report lobby(ng. I certify that I shall requlre all sub awards at ap tlers pnduding wb-grants and contracfs)W <br /> sim�7arhr eeruy ana disdose acooratr�yly. <br /> Federaqy recoynlzeC Indlan hibes and fibally designated housing entltbs(TpHEs)estabBshed by Federatly�reccgnfzed Indlan tribes <br /> as a rssuft of tt�e exardse ot the bibe's soverotgn power are exduded hom coverage of 1he Byrd Amendment,but State-recognized Indian <br /> tr�bes and TDHEs established under State law aro not exGuded hom the staWte's ooverage. <br /> TMa applkaUon incorporates the Assurances and CerUficatlona(HUD-4248)attached to thb applkatlon or renews and Incorpcuates fw <br /> 1he fundiny you are seeking the Pssuraneas and CeNfkatlons eurrently on Ne with HUD. To the best of my iewwledge and beUef,ap <br /> informatlon(n thts appqcatlon ta true and co stlWtes material roprosentatlon of fad upon whkh HUD may rey in awartifng <br /> the agrsement <br /> 23.S(gnaturo of Authora Name(printed) <br /> Steve Garman <br /> TiUe Date(mMddlyyyy) <br /> Cit Mana r <br /> form HUD-424(01/2003) <br /> Previous versions of HUO-424 and 424M are obsolete. Page 2 at 2 ref.OMB ClrcularA-102 <br />