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STATE OF WASHINGTON
County of Jefferson
In the Matter of:
Certification of Compliance
for CDBG Public Services Grant
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RESOLUTION NO. 73-05
WHEREAS, Jefferson County is applying to the State Office of Community
Development for funding assistance; and,
WHEREAS, it is necessary that certain conditions be met as part of the
application; and,
WHEREAS, John Fischbach, County Administrator, is authorized to submit this
application to the State of Washington, on behalf of Jefferson County; and,
NOW, THEREFORE, BE IT RESOLVED, that the Board of Jefferson County
Commissioners authorizes submission of this application to the State Office of Community
Development to request $151,809.00 to fund public service activities in coordination with the
Olympic Community Action Programs, and certifies that, if funded, it:
~ Will comply with applicable provisions of Title I of the Housing and Community
Development Act of 1974, as amended and other applicable State and federal laws;
~ Has provided opportunities for citizen participation comparable to the State's
requirements (those described in Section 104(a)(2)(3) of the Housing and Community
Development Act of 1974, as amended); has complied with all public hearing
requirements and provided citizens, especially low- and moderate-income persons, with
reasonable advance notice of, and the opportunity to present their views during the
assessment of community development and housing needs, during the review of available
funding and eligible activities, and on the proposed activities;
~ Has provided technical assistance to citizens and groups representative oflow- and
moderate-income persons that request assistance in developing proposals;
~ Will provide opportunities for citizens to review and comment on proposed changes in
the funded proj ect and program performance;
~ Will not use assessments against properties owned and occupied by low- and moderate-
income persons or charge user fees to recover the capital costs of CDBG-funded public
improvements from low- and moderate-income owner-occupants;
~ Will establish a plan to minimize displacement as a result of activities assisted with
CDBG funds; and assist persons actually displaced as a result of such activities, as
provided in the Uniform Relocation Assistance and Real Property Acquisition Policies
Act of 1970, as amended;
Page 1 of2
RESOLUTION NO. 73-05 re: Certification of Compliance for CDBG Public Services Grant
~ Will conduct and administer its program in conformance with Title VI of the Civil Rights
Act of 1964 and the Fair Housing Act, and will affirmatively further fair housing, (Title
vrn of the Civil Rights Act of 1968); and
~ Has adopted and enforce a policy prohibiting the use of excessive force by law
enforcement agencies within its jurisdiction against any individuals engaged in
nonviolent civil rights demonstrations; and has adopted and implemented a policy of
enforcing applicable State and local laws against physically barring entrance to or exit
from a facility or location which is the subject of such nonviolent civil rights
demonstrations within its jurisdiction, in accordance with Section 1 04( 1) of the Title I of
the Housing and Community Development Act of 1974, as amended; and
~ Will provide, upon request, and prior to any obligation of funds being made, a complete
and accurate CDBG Federal Funds Disclosure Report detailing the required
applicant/grantee information, and as appropriate other government assistance provided
or applied for, interested parties and expected sources, and uses of funds.
BE IT FINALLY RESOLVED, that the Board of Jefferson County Commissioners,
designates the County Administrator, as the authorized Chief Administrative Official and
authorized representative to act in all official matters in connection with this application and
Jefferson County's participation in the Washington State CDBG Program.
5th
day of December
2005.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
Ol /.., Yl] ----i-r-b . .
~:_LLL{ / '{C-CJ.U' t.i/:.:J./
. ,- Julie Matthes, CMC
Deputy Clerk of the Board
Davr~.
Page 2 of2
OrJj: 0J,uk j-ffiy- ~ -7 ~
I SUBMIT THIS FORM WITH THE APPLlCA TION I
OUTREACH AND ACCOMMODATION
FOR NON-ENGLISH SPEAKING RESIDENTS FORM
This form documents the applicant jurisdiction's determination whether additional public hearing
outreach and accommodations for local non-English speaking residents are required and lists the
outreach steps and accommodations provided. The federal regulations on page 21 state "public
hearings shall be conducted in a manner to meet the needs of non-English speaking residents
where a significant number of non-English speaking residents can reasonably be expected to
participate." The CDBG Program benefits low- and moderate-income persons and strongly
encourages a jurisdiction to make efforts to receive input on community needs from minority
populations. To meet the CDBG requirements for outreach and accommodation for non-English
speaking residents, the jurisdiction must:
. Complete and submit this form with the application;
. Properly advertise the public hearing (see the sample public hearing notice's accommodation
clause options) and submit a copy of the notice with the application; and
. Follow the public hearing notice and provide any necessary accommodations at the public
hearing.
Significant Population - General guidance is if 2000 Census data show that more than 10% of the
jurisdiction's population speaks English less than "very well" or if more than 10% of the project's
targeted population speaks English less than "very well," then it is reasonable to expect and
encourage a significant number of non-English speaking residents to participate. In such cases,
special outreach and accommodations are recommended to inform this population of the
opportun1ty to receive information on the CDBG Program and input on the proposed project. (See
B. and D. below.)
OUTREACH - Complete either A. or B., as applicable.
A. To document that targeted outreach to non-English speaking residents was NOT
necessary, check the box and provide any additional explanation:
1$
Data on local non-English speaking populations, including 2000 Census Data, demonstrate
that it is NOT reasonable to expect a significant number of non-English speaking residents to
attend the CDBG application public hearing. See page 7 for assistance on accessing 2000
Census Data.
Explain below any local circumstances that contribute to your interpretation of the data:
If YOU were able to check the A. box above. YOU can skip B. and complete C.
Public Services Grant Application Handbook
12
October 2005
B. To document the outreach steps taken when it was expected non-English speaking
residents would participate in the public hearing, check the boxes that apply:
D
D
D
D
D
D
The COSG public hearing notice was advertised in an alternate language.
The COSG public hearing was announced on an alternate language radio or television
station.
The COSG public hearing notice was posted in an alternate language in advance at the
following locations to target the non-English speaking population:
Location
Oate Posted
Members of organizations and advocacy groups representing non-English speaking
populations were invited to attend the COSG public hearing.
Leaders and interested parties from the minority community were directly invited to attend the
COSG public hearing.
Other:
ACCOMMODATIONS - Complete either C. or D., as applicable.
C. For jurisdictions where it was determined a significant number of non-English speaking
residents were NOT expected to participate (A. box is checked above), the following
minimum accommodation was made available: .
~
The COSG public hearing notice states that arrangements to reasonably accommodate the
needs of special classes of citizens, including handicap accessibility or interpreter, will be
made upon advance notice request. Submit a copy of the affidavit of publication or a
photocopy of the actual notice from the paper to document.
D. For jurisdictions where a significant number of non-English speaking residents were
expected to participate (B. box is checked above), the following accommodations were all
made:
D
D
D
The COSG public hearing notices state that an interpreter will be available (even without
advance request). Submit a copy of the affidavit of publication or a copy of the actual notice
from the paper; and
COSG public hearing handouts were available in the alternate language at the public
hearing. Sample handouts in Spanish are available from the COSG program upon request.
Other:
Public Services Grant Application Handbook
13
October 2005
I SUBMIT THIS FORM WITH THE APPLlCA TION I
COBG PUBLIC SERVICES GRANT - PROJECT SUMMARY FORM
1. Applicant Jurisdiction: 2. Contact Person: Karen Bednarski
County Title or Affiliation: Grant Coordinator
Address: P.O. Box 1220 Address: P.O. box 563
Port Townsend, WA 98368 Port Townsend, WA 98368
Phone (360) 385-9122 Phone: 360-385-9121
FAX: 360-385-9382 FAX: 360-385-9228
Tax ID #:91-6001311 Email: kbednarski@co.iefferson.wa.us
SWV#:
Counties Served: Jefferson
3. Subrecipient Organization: 4. Consultant: N/A
Olympic Community Action Programs Address:
Contact Person:Timothv L. Hockett
Title: Deputy Director Phone:
. Address:228 W. First St.. Suite J Email:
Port Anqeles. WA 98362
Phone: 360-452-4726 5. Fiscal Year from 1/1/06 to 12/31/06
FAX: 360-457-4331
Email: thockett@olvcap.orq
6. State Legislative District: 24th Congressional District: 6th
7. Project Summary: To provide public services to low income persons in the above counties.
8. Project Category (Pleas~ check the category(s) tha~ applies.)
-.2L Public Services
9. National Objective Addressed (Please check the applicable objective.)
~ Principally benefits low- and moderate-income households, 100 %
_ Prevents or eliminates slums or blight
_ Meets urgent community development needs which pose a serious & immediate threat to
public health or safety
10. Total Project Budget:
CDBG $ 151.809
CSBG ST $ 68.276
TOTAL $ 220.085*
11. Project Location:
Census Tract(s)
OlvCAP
Block Group(s) PO Box 1540, Port Townsend, WA 98368_
12. Project Beneficiaries:
# Persons:
#LMI Persons:
13. Certification of Chief Administrative Official
9.t! 1- ?-- JJl- /l
Signature
! *if CSBG is fully funded
# Households: N/A
# LMI Households: N/A
John Fischbach
Name (Please type or print)
County Administrator
Title
1d-15}O~
Date I
ApplicantlReci pient
Disclosure/Update Report
U.S. Department of Housing
and Urban Development
OMS Approval No. 2510-0011 (exp. 12/31/2006)
Instructions. (See Public Reporting Statement and Privacy Act Statement and detailed instructions on next
page. )
A IicantlReci ient Information
1. ApplicanURecipient Name, Address, and Phone (include area code):
Jefferson County
PO Box 563, Port Townsend, WA 98368
(360) 385 - 9121
3. HUO Program Name
WA State Community Development Block Grant I Public Services Grant Program
Indicate whether this is an Initial Report X or an Update Report 0
2. Social Security Number or
Employer 10 Number:
91 - 6001322
4. Amount of HUO Assistance
Requested/Received
$151,809
5. State the name and location (street address, City and State) of the project or activity:
Part I Threshold Determinations
1. Are you applying for assistance for a specifIC project or activity? These
terms do not include formula grants, such as public housing operating
subsidy. (For further information see 24 CFR Sec. 4.3).
X Yes ~ No
2. Have you received or do you expect to receive assistance within the
jurisdiction of the Department (HUO), involving the project or activity in
this application, in excess of $200,000 during this fiscal year (Oct. 1 -
Sep. 30)? For further information, see 24 CFR Sec. 4.9
~Yes o No.
If you answered "No" to either question 1 or 2, Stop! You do not need to complete the remainder of this form.
However, you must sign the certification. at the end of the report.
Part II Other Government Assistance Provided or Requested I Expected Sources and
Use of Funds. Such assistance includes, but is not limited to, any grant, loan, subsidy, guarantee, insurance, payment,
credit, or tax benefit.
OepartmenUState/Local Agency Name and Address Type of Assistance Amount Expected Uses of the Funds
ReauestedlProvided
None
(Note: Use Additional pages if necessary.)
Part III Interested Parties. You must disclose:
1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or implementation of
the project or activity and
2_ Any other person who has a financial interest in the project or activity for which the assistance is sought that exceeds $50,000 or 10 percent
of the assistance (whichever is lower).
Alphabetical list of all persons with a reportable financial interest
in the ro.ect or activO For individuals, ive the last name first
Olympic Community Action Programs (OlyCAP)
91-0814319
Contractor
$148,809
(Note: Use Additional pages if necessary.)
Certification
Warning: If you knowingly make a false statement on this form, you may be subject to civil or criminal penalties under Section 1001 of Title 18
of the United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including
intentional non-disclosure, is subject to civil money penalty not to exceed $10,000 for each violation.
I certify that this information is true and complete.
Signature:
x C '1 ;;2ooE:J
**Note: This cerlificationmustbe signed by the Chief Administrative Official (mayor,
county commission chair, county administrator, or city managflr)
Public Services Grant Application Handbook
22
October 2005
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Selected Outcomes Achieved for 2004
Employment
1. 62 unemployed people obtained jobs with assistance from OlyCAP
2. 29 employed people gained increased income
3. 21 attained to "living wage"
4. 1755 enrolled in one of our employment training classes - 1700 completed!
5. 11 completed GED/ABE with OlyCAP help
6. 42 people accessed reliable transportation or got their driver's license reinstated in
support of their need for stable employment
7. 31 people accessed health care in support of employment
8. 36 people obtained affordable housing in support of employment
Asset Enhancement and Utilization
1. 23 people demonstrated that they can complete a budget and maintain it for 90
days.
2. 5 new people opened IDA accounts
3. 8 people started businesses with their IDA savings
4. 2 people entered college using their IDA savings
5. 12 people purchased homes using their IDA savings
Community Improvement and Revitalization
1. 37 housing units were improved by OlyCAP efforts in weatherization or
rehabilitation. This affected 111 people.
Civic Investment
1. 20,684 volunteer hours were donated to OlyCAP programs
2. 105,852 volunteer hours were posted by seniors enrolled in RSVP - to many,
many programs throughout Jefferson and Clallam Counties.
3. 37,619 volunteer hours were devoted to area food banks supported by OlyCAP
4. 51 low-income persons participated at some level in the decision-making process
affecting their futures
Selected OlyCAP Outcomes 2004 1
~:~~
Partnerships
1. OlyCAP had 73 partnership agreements in place in 2004.
Broadening the Resource Base
1. OlyCAP's budget reflects heavy leveraging of federal and state dollars
a. CSBG Block Grant
b. Non-CSBG Federal Programs
c. State Programs
d. Local Public Funding
e. Private Sources
f. Value of Volunteer Time
TOTAL
$95,953.00
$3,849,548.00
$1,288,083.00
$278,249.00
$3,621,120.00
$309.948.00
$9,442,901.00
1%
41%
14%
3%
38%
3%
100%
Independent Living
1. 567 seniors maintained an independent living situation with OlyCAP's help
2. 247 disabled persons maintained their independence with OlyCAP's assistance
Emergency Assistance
1. 7,561 persons received food from the network of food banks that OlyCAP
supports
2. 2,194 households received emergency energy assistance payments
3. 116 people were provide emergency shelter by OlyCAP
4. 170 people accessed emergency medical care
5. 42 people accessed emergency transportation
6. 7 people were provided disaster relief
7. 518 people accessed our dental services
8. 996 persons received various levels of emergency aid through the Home Fund
Child and Family Development
1. 201 infants and children received appropriate immunizations, medical and dental
care
2. 174 children experienced improved health and physical development due to
adequate nutrition
3. 195 children participated in Pre-school activities to develop school-readiness
skills
Selected OlyCAP Outcomes 2004 2
tC: TreC'",") 7 .
~,-l J/ j ~:AJ.-lo5
C.A
STATE OF WASHINGTON
County of Jefferson
In the Matter of: Adopting A
Grievance Procedure Policy As A
Requirement of the State CDBG Program
}
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RESOLUTION NO. 14-05
WHEREAS, the Congress of the United States has passed Section 104(1) to Title I of
the HousiIig and Community Development Act stating that each unit of general local government
shall meet the following requirements as required by the State at See 91.115 (e) ofthis title to apply
for State CDBG grant funding; and
WHEREAS, Jefferson County is applying for a Community Development Block
Grant and is required to comply with Title I of the Housing and Community Development Act; and,
WHEREAS, the failure to establish a Grievance Procedure Policy may cause the
County to lose its grant or eligibility for future Federal grants.
NOW THEREFORE BE IT RESOL VED, that the Board of Commissioners does
hereby adopt the following Grievance Procedure Policy:
. . , " :;-'.~, '
Submit complaints in writing to the County Administrator for resolution. A
record ofthe complaints and action taken will be maintained. A decision by
the designated official will be rendered within 15 working days.
, ~ . '
'1.
2. If the complaint cannot be resolved to your satisfaction by the designated
official, the complaint will be heard by the governing body and discussed at
an open, public meeting of the .~lected body. A written decisiqn will be made
within 30 working days. The decision of the governing body is final.
3. A record of action taken on each complaint will be maintained as a part ofthe
record or minutes at each level of the grievance process.
BE IT FURTHER RESOL VED, that this Resolution repeals and replaces Resolution
No. 20-99 adopted February 22, 1999.
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ATTES't:'1 ;.) J/ -,'
.(/;.l!AJ..)ytwh~ L?rn c_
~~e Matthes, CMC
, Deputy Clerk of the Board
. 22nd February
ADOPTED thIs_day of
,2005.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
(Excused Absence)
Patrick M. Rodgers, Member
NOTICE OF PUBLIC HEARING
NOTICE IS HEREBY GIVEN that a public hearing is scheduled by the Jefferson County
Board of Commissioners for Mondav. December 5.2005 at 10:30 a.m. in the Commissioners'
Chamber, County Courthouse, 1820 Jefferson Street, Port Townsend, W A 98368.
The purpose of the public hearing is to review community development and housing needs,
inform citizens of the availability of funds and eligible uses of the State Community
Development Block Grant (CDBG), and receive comments on proposed activities, particularly
from low- and moderate-income persons residing in Jefferson County. $151,809.00 will be
available to Jefferson County and the Olympic Community Action Programs (OlyCAP) to fund
public service activities that principally benefit low- and moderate-income persons.
The draft application for this funding proposal will be available for review at the Jefferson
County Commissioners Office, from 8:00 a.m. to 5:00 p.m. Monday through Friday. Comments
may also be submitted in writing to the Jefferson County Commissioners until the date of the
hearit).g. '. ,
Comments particularly from low- and moderate-income persons residing in Jefferson County,
about the County's and Olympic Community Action Programs' (OlyCAP) past performance
regarding the 2005 Public Service Grant will also be received at this public hearing. (Close Out
of2005 Grant.)
The Commissioners Chambers are handicap accessible. Arrangements to reasonable
accommodate the needs of special classes of citizens, including handicap accessibility or
interpreter will be made upon receiving 24 hour advance notice. Contact the Commissioners
Office at (360)385-9100.
'1\ st' AI \.-
Signed this n( (-- day of 'ove~',\\Je~, 2005.
.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
(j/1Jy;? n /(
!/~//) !
(:j,A ,'1 t-____
J
Phil Johnson, Chair
Leslie Locke
From:
Sent:
To:
Subject:
Leslie Locke
Thursday, January 26,200612:31 PM
'Roe, Kaaren (CTED)'
RE: Jefferson County CDSG Grant Application Documents
I'll fax it and you can let me know if you want it mailed.
Leslie
-----Original Message-----
From: Roe, Kaaren (CTED) [mailto:KaarenR@CTED.WA.GOV]
Sent: Thursday, January 26, 2006 12:21 PM
To: Leslie Locke
Subject: RE: Jefferson County CDBG Grant Application Documents
A FAXed copy to the number below should be clear enough or mail to:
Kaaren Roe
CTED
PO Box 42525
Olympia, WA 98504
Kaaren Roe
project Manager
Community Development Block Grant Program
WA State Dept. of Community, Trade and Economic Development
(360) 725-3018 FAX (360) 586-4162
Part-Time Schedule: T, Th all day f W, F am only
Website: www.cted.wa.govfcdbg
-----Original Message-----
From: Leslie Locke [mailto:llocke@co.jefferson.wa.us]
Sent: Thursday, January 26, 2006 12:09 PM
To: Roe, Kaaren (CTED)
Subject: RE: Jefferson County CDBG Grant Application Documents
We received the orginal affidavit of publication today.
send you the original or make a copy? What address do I
Leslie Locke
Jefferson County Commissioner's Office
llocke@co.jefferson.wa.us
360-385-9100
Do you want me to
mail it to?
-----Original Message-----
From: Roe, Kaaren (CTED) [mailto:KaarenR@CTED.WA.GOV]
Sent: Thursday, January 26, 2006 12:01 PM
To: Leslie Locke
Subject: RE: Jefferson County CDBG Grant Application Documents
These documents do the trick and an copy of the fully signed contract will
be soon sent to the county. I would appreciate a better copy of the
newspaper, when you receive it.
Kaaren Roe
Project Manager
Community Development Block Grant Program
WA State Dept. of Community, Trade and Economic Development
(360) 725-3018 FAX (360) 586-4162
1
Part-Time Schedule: T, Th all day / w, F am only
Website: www.cted.wa.gov/cdbg
-----Original Message-----
From: Leslie Locke [mailto:llocke@co.jefferson.wa.us]
Sent: Wednesday, January 25, 2006 8:46 AM
To: Roe, Kaaren (CTED)
Cc: Karen Bednarski; Julie Matthes
Subject: Jefferson County CDBG Grant Application Documents
Ms. Roe,
Attached are the two documents you are waiting for to include with the CDBG
Grant Application for the 2006 Public Services Grant. 1) Minutes of Public
Hearing and 2) Affidavit of Publication. Let me know if you have any
problems opening the documents or reading them. We received a faxed copy of
the affidavit and it may be hard to read. The newspaper will be mailing us
the original and we can forward a copy on to you if you need it.
Leslie R. Locke
Jefferson County Commissioner's Office
llocke@co.jefferson.wa.us
360-385-9100
<<M120505.pdf>> <<Affidavit.pdf>>
2
- '~NoTICE OF PUBUCHEARING
HOncE IS HEREBV GIVEN.ttlat a pub-
liC heer\ng Is scheduled by tit. Jefferson
'County Board 01 COmmlillloners for
.AIondlJv DACllmbM 5 2005111 10'30
'&m... In the Commissioners' Chamber,
COUnty COUrthouse, 1820 Jefferson
Stteet, Port TownHnd, VOlA 98368.
The purpose Of the public. hearing Is to
revIeW community development and
hoUsing n8eds, Inform citizens. 01 the
availability Of funds and eligible U888 of
the SJate COmmunity DeveloPment
SIod<. Grarft:.(CDB~l), and receive com-
.....00 ~....' paI1IcuIar1y
from low- _~me persons
I'lMlidIng In Jeff8nIonCounty.
f15t;e09000wHl be available to Jeff8r-
son COUnty and the OIympIcCommun!ty
':Action Programs (OIyCAP) to fund public
.service .aG11vt\1e8 thatpr/ncIpaIIy benellt
Iow- and.~persons.
1'he draft application for this funding pro-
posaIwill be available for review at the
Jefferson COUnty Cotnmlll8loner8 OIftce,
from 8:00 a.m. to 5:00 p.m. Monday
ttuough Friday; COmmenl8 may also be
subm/It8d In. wdIIng to the Jefferson
COUnty CornmlsslOner8 until the date 01
th8hearlng. '
COmlYl8ntll ~.partIcularIy fl!:Jm low: and
~ pefSO/18 residing In
Jellerson COUnty, about. the COUntY's
1IfId ()tymplc CommunltV. ActIon Pro-
orams' (OIYCAP) p&st. performll'1C8 . re-
gardlng the 2005. PublIc ~ Grant
WIll aIlIO berecelv8d at this pubic ~-
Ing. (CIoee 0Ut.Qf 2005 Grant).:.
The ComnllIllIor1er Chan1b8i'a are
~"tlIrl.!l~.~8!~to
- ~;~lllCldait.the r.- of
specilII .GII8se8. 01. c:ItIZena, InCIudIrV
~ llCC8$SlbIIIty or Interpf'eI8r wi"
bernade upon receMng' 24 hoUr. ad-
vanCe notice. . ContlICt the 9otnlllillllon-
ersOlllce at (360)385-9100.
Signedthl821stday of Novembllf;2005.
JEFFERSON COUNTY . ..
BOARD OF 0Qt.tMISSI0NI5R .
PI-I~~..~...
td"Y.. .;' ...... ._..1_,..
Affidavit of Publication
STATE OF WASHINGTON)
SS
COUNTY OF JEFFERSON)
I, Hali K. Johnson, Legal Publications Coordinator of the Port
Townsend & Jefferson County Leader, a weekly newspaper which has
been established, published in the English language and circulated
continuously as a weekly newspaper in the town of Port Townsend in
said County and State, and for general circulation in said county for
more than six (6) months prior to the date of first publication of the
Notice hereto attached and that the said Port Townsend & Jefferson
County Leader was on the 27th day of June 1941 approved as a legal
newspaper by the Superior Court of said Jefferson County and
annexed is a true copy of the
NOTICE OF PUBLIC HEARING
NOTICE IS HEREBY GIVEN that a public hearing is scheduled by the
Jefferson County Board of Commissioners for Mondav. December 5. 2005 at
10:30 a.m. in the Commissioners' Chamber, County Courthouse, 1820
Jefferson Street, Port Townsend, WA 98368.
As it appeared in the regular and entire issue of said paper itself not in
a supplement thereof for a period of 2 weeks, beginning on the 23rd
day of November, 2005, ending on the 30th day of November, 2005,
that said newspaper was regularly distributed to their subscribers
during all of this period. That the full amount of $ 86.85 has been paid
in full, at the rate of$ 7.75 per column inch for each insertion.
Subscribed and sworn
L-H day of
'L,
Hali
Notary Public in and for the State 0
::
FAX TRANSMISSION
JEFFERSON COUNTY
P.O. Box 1220
Port Townsend, WA 98368
(360)385-9100
Fax: (360)385-9382
To:
Kaaren Roe
Date:
January 26,2006
Fax #:
(360) 586-4162
Pages:
2, including this cover sheet.
From: Leslie Locke
Subject: CDBG Grant Affidavit of Publication