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by requirements for the degree of (Education) - NCRTM

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112<br />

OCCUPATIONAL AllIIJSI/INI PROGRAM FOR MII¢I'ALLY Pd3TARDEI)<br />

AS TO AVAILABII,ITY OF FUNDS FOR VOCATIONAL REII3JILITATION<br />

CIRTIFICATION<br />

he filed with <strong>the</strong> Department <strong>of</strong> llealth and Social Services, Division<br />

(To<br />

Vocational Rehabilitation hy <strong>the</strong> responsible fiscal <strong>of</strong>ficer <strong>of</strong> <strong>the</strong><br />

<strong>of</strong><br />

school board in advance <strong>of</strong> any disbursement <strong>of</strong> funds <strong>by</strong> <strong>the</strong> local<br />

local<br />

school board <strong>for</strong> <strong>the</strong> purposes <strong>of</strong> this program).<br />

I here<strong>by</strong> certify that <strong>the</strong>re will be available during <strong>the</strong> fiscal<br />

year ending June 30, from funds assigned <strong>for</strong> exF;:enditure <strong>by</strong> <strong>the</strong><br />

a s.gn <strong>of</strong>.$ * to be paid as salary <strong>for</strong> Vocational Rehabili-<br />

tation services contemplated tmder <strong>the</strong> terms <strong>of</strong> a cooperative agreement<br />

between <strong>the</strong> Department <strong>of</strong> lealth and Social Services, Division <strong>of</strong> Voca-<br />

tional Rehabilitation and <strong>the</strong><br />

(Signed)<br />

Title<br />

Date<br />

(Local Scl-o-i Board)<br />

This mnount should be tlle. salary chargeable to <strong>the</strong> Vocational<br />

*<br />

activity as shown on Form VRSE-2.<br />

Iehabilitation

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