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The Aging Network

Program Instructions

OMB No 0980-0009
EXPIRES 7/31/2005

Certification of Maintenance of Effort

CERTIFICATION OF STATE RESOURCES EXPENDED, UNDER TITLE III OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED, TO MEET THE REQUIRED LEVEL OF MAINTENANCE OF EFFORT DURING
FISCAL YEAR________

STATE:_____________________

I, the undersigned, certify that the State resources expended to meet the maintenance of effort required by Title III of the Older Americans Act, under the approved State plan, for the period of October 1, 199~ through September 30, 1999 were $_________.

This amount is (check one):

[ ] Less than the required level of maintenance of effort

[ ] Equal to the required level of maintenance of effort

[ ] More than the required level of maintenance of effort

____________________________
Signature of Authorized State Official

______________
Date




Last Modified: 12/31/1600