I, ______________________________________________, (Please Type Name) do hereby certify that all facts, figures, and representations made in this Local Educational Agency Plan are true, correct, and consistent with the statement of general assurances and specific programmatic assurances for this plan. 12. ______________________________ _____________________________ _____________ Signature of Agency Head Title Date FLORIDA DEPARTMENT OF EDUCATION TITLE I, PART A LOCAL EDUCATIONAL AGENCY (LEA) PLAN NO CHILD LEFT BEHIND ACT OF 2001 P.L. 107-110 Page 2 of 9 INSTRUCTIONS FOR PLAN COVER FORM 1. this section is for DOE use only.
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