CERTIFICATION

OF USAID-REQU!RED i\UDIT APPUCABIUTY

I certifythatthe

information

filled

below is accurate forthe

A. The Fiscal Year 2014 in my organization ends on

B. In FY'14, a total of

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organization

I represent.

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(MM-DD-YYYY).

US Dollars1 or equivalent local currency

was spent in USAID funds. The spent funds were received from the following

sources both in cash and

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o

us Dollars

or equivalent

local currency through CRS

US Dollars

or equivalent

local currency

through

US Dollars

or equivalent

local currency

through

other organizations

0,00 0 0 0 0 .0 0

USAID directly

I certify that the information

Org. Name:

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fi lied above is accurate forthe

organ lzatlon I represe nt.

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Job Title:

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Address:

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Date:

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1The base for conversion will be the total amount spent in local currency in subrecipient's FY as of the last date of
subrecipient's FY, e.g., Dec. 31. For the purpose of this certification, it is required to use www.OANDA.com to
convert local currency to US Dollars with interbank indicator on Oanda's Currency Converter set to +/...{)%.Thisis to

ensure consistency of certified information among all subreclpients.

fi ed/booked as "expenditures" in the General Ledger.

2 In-kind can only be lncl uded if codi

Page 2 of 2

RE: USAlD-required Audit ComplianceforFiscalYear

2014
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