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<br />I L' . <br /> <br />Affidavit - Existing Participant <br /> <br />Under penalty of perjuryf the undersigned officials certify that they have read and understand their obligations under <br />the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate <br />accounting of funds received and spent by the Agency under the Justice and/or Treasury Guides during the reporting <br />period and that the recipient Agency is in compliance with the National Code of Professional Conduct for Asset Forfeiture. <br /> <br />The undersigned certify that the recipient agency is in compliance with the nondiscrimination requirements of the <br />following laws and their Department of Justice implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.s.c. <br />9 2000d et seq.), Title IX of the Education Amendments of 1972 (20 u.s.c. 91681 et seq.), Section 504 of the Rehabilitation <br />Act of 1973 (29 u.s.c. 9 794), and the Age Discrimination Act of 1975 (42 U.S.c. 9 6101 et seq')f which prohibit <br />discrimination on the basis of racef color, national originf disabilitYf or age in any federally assisted program or activitYf or <br />on the basis of sex in any federally assisted education program or activity. <br /> <br /> <br />Agency Head <br /> <br /> <br />Signature, 9a.......LJJ. - y <br />Name: Paul D. Laney ~ <br />Title: Sheriff <br /> <br />Governing Body Head <br /> <br />Signature: <br />Name: Robyn Sorum <br />Title: Cass County Commission Chair <br /> <br />Date: <br /> <br />02/12/2009 <br /> <br />Date: <br /> <br />02/17/2009 <br /> <br />Final Instructions: <br />Step 1: Click button to save in PDF format for your records <br />Step 2: Click button to save in XML format <br />Step 3: E-mail the XML file as attachment to aca.submit@usdoj.gov <br />Step 4: Fax a signed copy of THIS PAGE ONLY to (202) 616-1344 <br />Note: The Agency will not be in compliance until the e-mail and the fax of this page are received. <br /> <br />FOR AGENCY USE ONLY <br />Entered by <br /> <br />Entered on <br /> <br />II 111111111 111111111 m II I <br /> <br />FY End: 12/31/2008 <br />NCIC: ND0090000 Agency:Cass County Sheriff's Office <br />State: ND Contact Richard Majerus <br /> <br />Phone:701-241-5813 <br /> <br />E-mai I:MajerusR@casscountynd.gov <br /> <br />Page 5 of 5 <br /> <br />January 2009 <br />Version 1.5 <br />