In submitting this form, you certify that the following information is true and correct:
1. The entire grant, (plus any income earned, if applicable) was used for the purpose(s) stated in Schedule “A” of the original conditional grant agreement, without material alteration, as signed by Saddle Hills County Council.
2. The grant (plus any income earned, if applicable) was expended and the work was completed by December 31, or by a different date as specified in this form.
3. The Organization did not use any portion of the grant to pay for any item not associated with the project.
4. The Organization did not use any portion of the grant to pay for work done or materials obtained before the original conditional grant agreement was approved by the County.