HomeMy WebLinkAboutChildren & Youth - Commonwealth of PA, Office of Children, Youth, and Families (OCYF)County:
Period:
Prepared by:Telephone Number Date Submitted
Name and Title: (Please
Type)717-263-1900 11/14/2024
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CY-376
AUTHORIZED OFFICIAL DATE
7/1/2023 - 6/30/2024
Charity Gorman
Fiscal Officer II
We certify that we are the authorized official(s) for the above-named county, and that this statement
of receipts and expenditures for the period shown is true and correct to the best of our knowledge
and belief; that the expenditures and income shown on these forms have been reconciled with the
related balances of the book of this county; that the expenditures have been made in accordance with
the plan and estimate approved by the Commonwealth of Pennsylvania; that the expenditures are
allowable under Title 55 PA Code; and that the county understands that any and all payments made
hereunder are made in reliance by the Commonwealth upon the statement made herein.
PLAN AND BUDGET AMENDMENT CERTIFICATION STATEMENT
COUNTY CHILDREN & YOUTH SOCIAL SERVICE PROGRAMS
Your typed name in the below signature area is accepted as an electronic signature.
AUTHORIZED OFFICIAL DATE
AUTHORIZED OFFICIAL DATE
Franklin
CERTIFICATION STATEMENT