Cities Index.
Certification Form

Riverside City Council
December 3, 2024

Document
Certification Form
Meeting
December 3, 2024
Body
Riverside City Council
Original file
656 KB
Text extracted from the city's file for reading and search. Open the original on riversideca.legistar1.com. That file is the official record.

Riverside Public Library

CERTIFICATION
I hereby certify under penalty of perjury: that I am the duly authorized representative of the claimant herein; that the claim is in all respects true, correct and in accordance with law and the terms of the agreement; and that payment has not previously been received for the amount claimed herein.

The claims the indicated allowance for the purposes of carrying out the functions stated in its California Library Literacy Services application and in Sections 18880-18883 of the California Education Code. 3900 Mission Inn Ave, Riverside, CA 92501

SIGNED DATE
Signature - Authorized representative
Typed/Printed Name and Title of Authorized Representative Email address of authorized representative
Docusign Envelope ID: 996F0991-91A4-4FF7-821F-B84A0799AAE7

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