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DPS-M-1173 <br /> MN0181100 <br /> `--lhe parties indicate their agreement and authority to execute this Agreement by signing below. <br /> 1. STATE ENCUMBRANCE VERIFICATION 3. DEPARTMENT OF PUBLIC SAFETY,BUREAU OF <br /> Individual certifies that funds have been encumbered as required CRIMINAL APPREHENSION <br /> by Minn.Stat. §§16A.15 and 16C.05. <br /> Name: <br /> Name: (PRINTED) <br /> (PRINTED) <br /> Signed: <br /> Signed: <br /> Date: Title: <br /> (with delegated authority) <br /> CFMS Contract No.A- <br /> Date: <br /> 2. AGENCY <br /> Name: Nancy Adams 4. COMMISSIONER OF ADMINISTRATION <br /> (PRINTED) delegated to Materials Management Division <br /> Signed: t 0 . <br /> ✓ By: <br /> Title: Mayor, City of Pequot Lakes Date: <br /> (with delegated authority) <br /> Date: May 3, 2011 <br /> Name: Sandra Peine <br /> (PRINTED) <br /> Signed: 'I - <br /> Title: City Clerk <br /> (with delegated authority) <br /> Date: May 3, 2011 <br /> 6 <br />