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V �-4 <br />B FINANCIAL CERTIFICATION <br />"I certify that this document and all attachments were prepared under my direction <br />or supervision in accordance with a system designed to assure that qualified <br />personnel properly gather and evaluate the information submitted. Based on my <br />inquiry of the person or persons who manage the system, or the persons directly <br />responsible for gathering the information, the information submitted is, to the best <br />of my knowledge and belief, true, accurate and complete. I am aware that there are <br />significant penalties for making false statements or representations to the <br />Department, including the possibility of fines for criminal violations." <br />Name <br />igna <br />/Z -z 9- y9 <br />Date <br />