Laserfiche WebLink
Vendor No.0000201754 Contract No.49429 <br />PO Number3000023015 1000/R2933719/R293008 <br />� <br />1. STATE ENCUMBRANCE VERIFICATION <br />Individual certifres that funds have been encumbered as <br />required by Minn. Stat. '' i6A.15 and 16C.05. <br />�_:, _ . __ ';�,r�-. <br />Signed: <br />Date: <br />SWIFT ContracUPO No(s)._49429 <br />2. GRANTEE <br />The Grantee certifies thatthe appropriate person(s) <br />have executed the grant contract 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 />� <br />Date: <br />� <br />3. STATE AGENCY <br />By: <br />(with delegated authority) <br />Title: <br />Date: <br />Distribution: <br />Agency <br />Grantee PEQUOT LAKES F[RE DEPT <br />State' s Authorized Representative - Photo Copy <br />Grant (Rev.09/II) 5 <br />