Laserfiche WebLink
SF't' 2003 Community Services Performance Contract <br /> for Operating CSBs and Behavioral Health Authorities <br /> <br />Attachment 6.5.9: Local Government Acceptance of Funds and Approvai of <br /> Community Services Performance Contract <br /> <br /> Name o~' 3oard~.Piedmont Community Services <br /> <br /> as Board's Fisca .AgenT' City Of Martinsville <br /> <br />3. Name o f the Fisca[ Agent's City Manager or County' Admimstrator or lxecum'e: <br /> <br /> Name: Earl Reynolds Title: City Manager <br /> <br />4.. Name of the Fiscal Agent's County:City Treasurer or DirectorofFinance: <br /> <br /> Name: Wade Bartlett Title: Finance Director <br /> <br />5. Name of the Fiscal Agent official to whom checks should be electronically transmitted: <br /> <br /> Name: Wade Bartlett Title: Finance Director <br /> .Address: PO Box 1112 <br /> <br />Martinsville, VA 24114 <br /> <br />The Board's board of directors certifies that. to the best of its knowledge and belief, the data <br />and information in this performance contract are true and correct and that its entry into this <br />contract has been duly authorized by a formal vote of the board of directors in an'open, punic <br />meeting o f the board. This signature affirms the board's approval o f this performance contract. <br /> <br />Signature of Board Chairman <br /> <br />Date <br /> <br />This si=o-nature indicatis receipt of a board-approved'copy o f this performance contract and an <br />a=m'eement by the Board's Fiscal Agent to accept state and federal funds from the Department <br />that are included in this contact. <br /> <br />Signature o1:' Fiscal Agent's Administrator or Manager <br /> <br />7 ,,z v o 2 <br /> <br />O- I. 05-06-2002 <br /> <br /> <br />