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� Depository/Authorized Desiqation Form <br /> Local Government City of Decatur <br /> Grant Number CB-93309 <br /> 1. The financial institution listed here will serve as <br /> depository for the Clean and Beautiful grant funds: <br /> MA�r�,A t�1�rJK- <br /> Fund Account: G q �-l�sa- � <br /> 2. The following individuals are designated as authorized <br /> signators for the following purposes: <br /> Grant Award Document* ,JAN►E� G . Rhl�� i ,� 32.. <br /> Name <br /> GiT`� i�4h��-�YC <br /> Title <br /> .� <br /> , <br /> ,� r" <br /> (. �� �- . <br /> nature � % <br /> Expenditure Summary <br /> and Payment Request Form* 2VT�� Gr. Si AvFF�YZ <br /> Name <br /> �'+�EL.vr�vL n�r�LTDyL L. C-S <br /> Title ' � <br /> �— <br /> Signatu <br /> Withdrawals and/or any other transactions involving <br /> above-referenced Fund Account. <br /> *Use additional pages if necessary <br /> ��� � . C� � <br /> Name <br /> 1 �L�k.�.r�� ��-� �L-e�ti-%�_�*� <br /> Title ' � ` <br /> ��Q--�`'` y , ��� <br /> Signature <br />