Financial Statement Certification Form - Texas
FORM G
Financial Statement Certification
We certify that to the best of our knowledge, the attached balance sheet, income statement and general fund balance for
_____________________________________________________________________
(Name of LIDDA)
present fairly the financial position for the ______ Quarter.
Certified by:
Chief Financial Officer: ___________________________ __________________
Date
Executive Director: ______________________________ __________________ Date
Board Chair: ___________________________________ _________________ Date
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