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OFFICE OF THE SECRETARY OF THE TREASURY <br />WASHINGTON. D.C. 20226 <br />9:. <br />Aupw127.1961 <br />ORONOCITY Revenue Sharing R <br />In order to qualify for Revenue Sharing funds, each recipient government must assure the Director of <br />the Office of Revenue Sharing that It will comply with the statutory provisiuns contained in the Revenue <br />Sharing Act. To facilitate this requirement, a new Sbteme l of Assurances and Statement of Assurances <br />Certification Form for Entitlement Period 16 are enclosed. Period 16 begins on October 1, 1984 and ends on <br />September 30, 1985, <br />Alter carefully reading the enclosed Instructions and the Statement of Assurances, the Chief <br />Executive Officer of your government must sign, dale, and mall "Copy A" of the Certification Form to us in <br />the enclosed, pro addressed envelope. Please note that under the provisions of The Revenue Sharing Act, <br />only the Chief Executive Officer is authorized to sign the Certification Form, thereby certifying that a <br />government will comply with the requirements of the Act as described in the enclosed SlaVment of <br />Assurances. "Copy B" of the Certification Form is to be retained in your files as pert of your Revenue Shan <br />ing documentation. Copy A should be mailed before September 30, 198a to ensure that we receive it in time <br />to quality your government for the first quarterly payment of Period 16 to be issued on January 8, 1985. The <br />Certification Form must be signed and on life in this office before any payment of Revenue Sharing funds <br />for Period 16 can be made to your government. <br />The Period 16 entitlement amounts are riot currently available. In December 1984, you will receive a <br />Recipient Account Statement (RAS) which will Indicate your government's entitlement amount for EP 16. <br />the data elements upun which it is based, and a summary of your Revenue Sharing account activity during <br />prior entitlement periods. <br />Thank you lot your cooperation In promptly signing and reluming the Statement of Assurances <br />Certification Form to us. <br />Michael F. Hill <br />Orono Village <br />24 2 027 027 <br />Village Clerk <br />Crystal Bay Minn <br />DATE SIGNATURE OF CHIEF EXECUTIVE OFRCER Of Orono village <br />NAME AND TITLE (IKEASE PRINT) AREA CODE TELEPHONE NUNN" <br />Th.. Imm M.V M IklwrW q Seplemser M. 1E14 OFFICE OF REVENUE SHARING 016288 <br />2a01 E STREET, N W <br />WASHINGTON, DC MX ORS GS AUG IW <br />DUPLICATE —RETAIN FOR YOUR FILES <br />