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03-13-17-R
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03-13-17-R
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3/10/2017 11:50:53 AM
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<br /> <br /> <br /> <br /> <br />1. STATE ENCUMBRANCE VERIFICATION 3. STATE AGENCY <br /> <br />Individual certifies that funds have been encumbered as Individual certifies the applicable provisions of Minn. Stat. <br />required by Minn. Stat. §§16A.15 and 16C.05. §16C.08, subdivisions 2 and 3 are reaffirmed. <br /> <br />Signed: ____________________________________________ By: ____________________________________________ <br /> (with delegated authority) <br />Date: ____________________________________________ Title: ____________________________________________ <br /> <br />CFMS Contract No. A- _________ Object Code: ___________ Date: ____________________________________________ <br /> <br /> <br /> <br />2. GRANTEE <br /> <br /> The Grantee certifies that the appropriate person(s) have <br /> executed the contract on behalf of the Grantee as required <br /> by applicable articles, bylaws, resolutions, or ordinances. <br /> <br />By: ____________________________________________ <br /> <br />Title: ____________________________________________ <br /> <br />Date: ____________________________________________ <br /> <br /> <br />By: ____________________________________________ <br /> <br />Title: ____________________________________________ <br /> <br />Date: ____________________________________________ <br /> <br /> <br /> <br />Land O’ Lakes, Inc. – CDAP-16-0008-H-FY16, Amendment 1 <br />01/30/2017 <br />SC108675 O 3000249419 PR 25990
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