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1. STATE ENCUMBRANCE VERIFICATION 3. STATE AGENCY <br /> Individual certifies that funds have been encumbered as <br /> required by Minn.Stat.ff 16A.1 S and 16C.05. <br /> Signed: By: <br /> (with delegated authority) <br /> Date: Title: <br /> Grant Contract No.: 2007-T5-00391 /9300-1833 Date: <br /> 2. GRANTEE <br /> The Grantee certifies that the 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 /> Date: <br /> Distribution: <br /> Agency <br /> Grantee <br /> State's Authorized Representative <br /> Title V JABG Combined(11/06) <br /> Title V Juvenile Justice Renewal 07 6 <br /> OJP Grant Number 2007-T5-00391 <br />