AFFIDAVIT Personally came and appeared before the undersigned authority, _________________________ (Name) ___________________________ (Title) of _____________________ (agency) who duly sworn, deposes and says, that the financial statements herewith given present fairly the financial position of ___________ _______________ (agency) at June 30, 2016, and the results of operations for the year then ended in accordance with policies and practices established by the Division of Administration or in accordance with Generally Accepted Accounting Principles as prescribed by the Governmental Accounting Standards Board. Sworn and subscribed before me, this _________ day of _______________, 2016. _________________________________________ _________________________________ Signature of Agency Official NOTARY PUBLIC Prepared by_______________________________ Title: _____________________________________ Telephone No.:_____________________________ Date: _____________________________________ Email address: _____________________________
AFFIDAVIT Personally came and appeared before the undersigned authority, _________________________ (Name) ___________________________ (Title) of _____________________ (agency) who duly sworn, deposes and says, that the financial statements herewith given present fairly the financial position of ___________ _______________ (agency) at June 30, 2016, and the results of operations for the year then ended in accordance with policies and practices established by the Division of Administration or in accordance with Generally Accepted Accounting Principles as prescribed by the Governmental Accounting Standards Board. Sworn and subscribed before me, this _________ day of _______________, 2016. _________________________________________ _________________________________ Signature of Agency Official NOTARY PUBLIC Prepared by_______________________________ Title: _____________________________________ Telephone No.:_____________________________ Date: _____________________________________ Email address: _____________________________
2016%20FPC%20packet.docx