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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
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