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Vendor No. 053570001 -00 Contract No. B46454 <br />STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered as <br />required by Minn. Stat. " 16A.15 and 16C.05. <br />Signed: <br />Date: July 23, 2010 <br />CFMS Grant Agreement No. B46454 <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) <br />have executed the grant agreement on behalf of the Grantee as <br />required by applicable articles, bylaws, resolutions, or ordinances. <br />By: <br />Title: <br />Date: <br />By: <br />Title: <br />ate: <br />"I..i <br />3. STATE AGENCY <br />By: <br />(with delegated authority) <br />Title: <br />Date: <br />Distribution: <br />300/3783/303 <br />Agency <br />Grantee <br />State =s Authorized Representative - Photo Copy <br />Grant (Rev. 1 /2010) 5 <br />