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OMB Number 1123-0011 <br /> Equitable Sharing � Expires9-30-2014 <br /> � !, <br /> M §� `£ <br /> � Agreement and <br /> � �� <br /> °j`�w.�F'r . . . .s;`. <br /> Cert�fication <br /> �i Police Department 0 Sheriff's Office 0 Task Force(Complete Table A) <br /> � Prosecutor's Office � National Guard Counterdrug Unit 0 Other <br /> "Please fill each required field.Hover mouse over any fillable field for pop-up instrudions.• <br /> Agency Name:Redwood City Police Department <br /> NCIC/ORI/Tracking Number: C A 0 4 1 1 3 0 0 <br /> Mailing Address: 1301 Maple Street <br /> City:Redwood City State: CA Zip:94063 <br /> Finance Contact: First:Sean Last: Hart <br /> Phone:650-780-7681 E-mail: shart@redwoodcity.org <br /> Preparer: First:Sean Last: Hart <br /> � Same as phone: 650-780-7681 E-mail: shart@redwoodcit or <br /> Finance Contact y' g <br /> Independent Public Accountant: E-mail: info@b-acpa.com <br /> Last FY End Date: 06/30/2014 Agency Current FY Budget: $33,000,000.00 <br /> O New Participant: Read the Equitable Sharing Agreement and sign the Affidavit. <br /> Q Existing Participant: Complete the Annual Certification Report,read the Equitable Sharing Agreement,and sign <br /> the Affidavit. <br /> O Amended Form: Revise the Annual Certification Report,read the Equitable Sharing Agreement,and sign <br /> the Affidavit. <br /> Annual Certification Report <br /> Summary of Equitable Sharing Activity Justice Funds' Treasury Funds2 <br /> � Beginning Equitable Sharing Fund Balance(must match <br /> Ending Equitable Sharing Fund Balance from prior FY) <br /> 2 Federal5haring Funds Received <br /> 3 Federal Sharing Funds Received from Other Law Enforcement <br /> Agencies and Task Forces(To populate,complete Table B) <br /> 4 Other Income <br /> 5 Interest Income Accrued Non-Interest Bearing� <br /> Interest Bearing Q <br /> 6 Total Equitable Sharing Funds(total of lines 1 -5) $0.00 $0.00 <br /> 7 Federal Sharing Funds Spent(total of lines a-m below) $0.00 $0.00 <br /> 8 Ending Balance(difference between line 7 and line 6) $0.00 $0.00 <br /> 'Justice Agencies are:FBI,DEA,ATF,USPIS,USDA,DCIS,D55,and FDA. <br /> Z Treasury Agencies are:IRS,ICE,CBP,TTB,USSS,and USCG. <br /> Page 1 of 5 October 2012 <br /> Version 2.1 <br />