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INTERNAL CONTROL TRAINING CERTIFICATION
FOR ELECTED OFFICIALS,APPOINTEES,AND EMPLOYEES
I, ��( Cvb C( ,the duly elected, appointed, or employed
(print name)
for
ertifyat I
osition or title) (political ivision)
received the following training concerning internal controls standards and procedures as required
by Ind. Code § 5-11-1-27(g)(2):
Title of Training Time Spent
acd P OHT'C
Date:
Signature All
* This certification may be printed, signed, and retained in paper form or electronically. If
signed electronically,the elected official, appointee, or employee must designate his or her
signature by typing the last four(4)digits of their Social Security number in the signature line.