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� III <br /> DISCLOSURE/RECUSAL STATEMENT <br /> i e A L. C'�.��,., <br /> � ' f�N.�-, do hereby state that I am a member of the <br /> � Board of Directors of the De tur Community Partnership,which has applied for funding as a <br /> subrecipient under the City of Decatur's FY2002/03 CDBG public services program. I state that <br /> I receive no financial or other benefit from my membership on the Board of this organization and <br /> � will in no way directly benefit from any receipt of funding that it may receive. I further state that <br /> I have recused myself from all discussion and review of this grant application, will have no <br /> influence on the funding decision, and will not administer the grant if it is awarded. <br /> Signature: � p�. ��,,,�� � <br /> � <br /> Date: /���D�— <br /> Ti <br /> r <br /> a <br />