Authorization This Grant Agreement Amendment Request is authorized by _________________________ ________________________________________ ____________________ Authorized Official Signature Date ____________________________________________________________________ The following section will be completed by the Division of Library and Information Services: Request Approved _______ Request Not Approved ________ __________________________________________________ Signature/Date ___________________________________________________________________ Mail, fax or completed form to: Florida Division of Library and Information Services R.A. Gray Building, MS # 9D 500 South Bronough Street Tallahassee, Florida 32399-0250 Fax: 850.245.6643 Email: If approved, a Grant Amendment will be prepared and sent for signatures by the Grantee and the Division.
Authorization This Grant Agreement Amendment Request is authorized by _________________________ ________________________________________ ____________________ Authorized Official Signature Date ____________________________________________________________________ The following section will be completed by the Division of Library and Information Services: Request Approved _______ Request Not Approved ________ __________________________________________________ Signature/Date ___________________________________________________________________ Mail, fax or completed form to: Florida Division of Library and Information Services R.A. Gray Building, MS # 9D 500 South Bronough Street Tallahassee, Florida 32399-0250 Fax: 850.245.6643 Email: If approved, a Grant Amendment will be prepared and sent for signatures by the Grantee and the Division.
constructgrantagreerequest.docx