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CERTIFICATE OF CUSTODIAN <br />STATE OF HAWAI`I ) <br />COUNTY OF HAWAI`I ) <br />I, Kehaulani M. Costa , being first duly sworn, state upon my oath that I am the custodian <br />responsible for making the inventory attached hereto; that I know the contents thereof; that the same is <br />full, true and complete, and that the items enumerated therein are at present in my possession, custody, <br />control or use and that the amount set opposite each item is the original cost according to my best <br />knowledge, information and belief. <br />Authorized Signature <br />Housing Administrator <br />Title <br />Office of Housing and Community Development <br />Administration <br />Department/Division <br />Subscribeh and sworn to before me this day of 2009 <br />``,Illlt@/e1/ <br />A <br />j't'y �• <br />o <br />rot NOTARY <br />Notary Public Judicial Court, State of Hawaii PUBuc <br />�lvK '. Comm. No..' <br />My commission expires / vl/7� %` r• • 92-490• •' \ <br />HP`� <br />ill <br />Date <br />I hereby certify that all properties listed on the inventory hereto attached have been <br />transferred to the custody:of <br />Signed: <br />Date <br />I hereby acknowledge receipt of all properties listed on the inventory attached which have <br />been transferred to my custody by <br />Signed: <br />Note 1. Inventories are required by law to be prepared as of the 30" day of June of each year. Such inventories <br />shall be accompanied by the Affidavit of the Custodian set forth above, subscribed and sworn to. before a person <br />authorized by law to administer oath. The certificate of transfer and receipt will not be executed. <br />Note 2. A full and complete inventory shall be prepared when any employee responsible for property belonging to <br />the County of Hawaii is relinquishing his/her duties to a successor. Such inventories shall be accompanied by the <br />foregoing Affidavit as well as the certificates of transfer and receipt. <br />Note 3. Custodians are required to submit all inventories to the Property Management Division of the Finance <br />Department on or before August 15, for transmittal to the Hawaii County Council. <br />