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2012_0827_Packet
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2012_0827_Packet
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10/11/2012 4:25:57 PM
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8/23/2012 2:44:30 PM
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of the CJDN Subscriber Agreement and all previous amendments remain in full force and effect <br />except as supplemented or modified by this Subscriber Amendment. <br /> <br />IN WITNESS WHEREOF, the Parties have, by their duly authorized officers, executed <br />this Subscriber Amendment in duplicate, intending to be bound thereby. <br /> <br /> <br />1. STATE ENCUMBRANCE VERIFICATION 3. DEPARTMENT OF PUBLIC SAFETY, BUREAU OF <br />Individual certifies that funds have been encumbered as <br />CRIMINAL APPREHENSION <br /> <br />required by Minn. Stat. 16A.15 and 16C.05. <br /> <br />££ <br /> <br />Name: ____________________________________________ <br />Name: _______________________________________ <br />(PRINTED) <br />(PRINTED) <br /> <br /> <br />Signed: ___________________________________________ <br />Signed: <br /> <br />_______________________________________ <br /> <br /> <br />Title: _____________________________________________ <br />Date: ________________________________________ <br />(with delegated authority) <br /> <br /> <br />SWIFT Contract No. ___________________________ <br />Date: _____________________________________________ <br /> <br /> <br />2. SUBSCRIBER (AGENCY) <br /> <br /> <br /> <br />4. COMMISSIONER OF ADMINISTRATION <br />Subscriber must attach written verification of <br />delegated to Materials Management Division <br />authority to sign on behalf of and bind the entity, <br /> <br />such as an opinion of counsel or resolution. <br /> <br />By: ______________________________________________ <br /> <br /> <br />Name: _______________________________________ <br />Date: _____________________________________________ <br />(PRINTED) <br /> <br /> <br /> <br />Signed: ______________________________________ <br /> <br />5.COURTS <br /> <br /> <br />Authority granted to Bureau of Criminal Apprehension <br /> <br /> <br />Title: ________________________________________ <br />Name: ____________________________________________ <br />(with delegated authority) <br />(PRINTED) <br /> <br /> <br />Date: ________________________________________ <br />Signed: ___________________________________________ <br /> <br /> <br /> <br /> <br /> <br />Title: _____________________________________________ <br />Name: _______________________________________ <br />(with authorized authority) <br />(PRINTED) <br /> <br /> <br />Date: _____________________________________________ <br />Signed: ______________________________________ <br /> <br /> <br /> <br />Title: ________________________________________ <br />(with delegated authority) <br /> <br />Date: ________________________________________ <br /> <br /> <br /> <br />10 <br /> <br />
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