Matchverification libraries

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                                  The State Education Department
                                       New York State Library
                                  Division of Library Development


                Opportunity Online Broadband Grant Program

                                PHASE 1 Match Verification Form




Proof of matching funds must be provided to your Library System by February 15, 2010.

Acceptable proof of acquired matching funds includes the following:

      Memorandum of Agreement (MOA)

      Council or library board resolution or minutes committing funds

      Letter of commitment from a nongovernmental resource such as:
           o Foundations
           o Corporations
           o Friends groups
           o Private donors
           o Local Community Group



This proof must include the following information:

Library Name:

Library Contact Person:

Amount of funding commitment

Source of commitment including name, affiliation, and contact information for the committing
organization and/or person

Signature(s) of the person(s) committing the funds

Date of commitment
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                                              The State Education Department
                                                   New York State Library
                                              Division of Library Development


                       Opportunity Online Broadband Grant Program
                                            Phase 1 Match Verification Form


Library Name: ______________________________________________________________________

 The following documents verifying our matching funds are attached: (Check as appropriate)

      Memo of Agreement

      Council/Library Board Resolution

      Council/Library Board Minutes

      Letter of Commitment




 _____________________                                                             ______________________________
                                   (Typed or Printed Name)                          (Title)


  ___________________________________________________________________________________
                           (Signature)

 Telephone                                                            Date __________________________________

 Email:




 If you have any questions regarding this form, please contact either Mary Ann Stiefvater, Opportunity Online Grant Coordinator,
 Phone 315-794-5122. Fax 315-853 –5147. E-mail mstiefva@mail.nysed.gov or Mary Linda Todd, Library Development Specialist,
 Division of Library Development, New York State Education Department, Cultural Education Center 10B41 Albany, NY 12230.
 Phone: 518-486-4858 Fax: 518-486-5254. E-mail mtodd@mail.nysed.gov

				
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