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!SWIFT Contract Number: 218065! <br />The parties indicate their agreement and authority to execute this Agreement by signing below. <br />1. STATE ENCUMBRANCE VERIFICATION 3. DEPARTMENT OF PUBLIC SAFETY; BUREAU OF CRIMINAL <br />Individual certifies that funds have been encumbered as APPREHENSION <br />required by Minnesota Statutes §§ 16A.15 and 16C.05. <br />Signed: ______________________________________________ By: _______________________________________________ <br /> (with delegated authority) <br />Date: ________________________________________________ Title: ______________________________________________ <br />SWIFT PO Number: 3-79700 Date: ______________________________________________ <br />2.GOVERNMENTAL UNIT 4. COMMISSIONER OF ADMINISTRATION <br />Governmental Unit certifies that the appropriate person(s) has(have) As delegated to the Office of State Procurement <br />executed this Agreement on behalf of the Governmental Unit and its <br />jurisdictional government entity as required by applicable articles, <br />laws, by-laws, resolutions or ordinances. <br />By: _________________________________________________ By: ________________________________________________ <br />Title: ________________________________________________ Date: ______________________________________________ <br />Date: _______________________________________________ <br />By: _________________________________________________ <br />Title: ________________________________________________ <br />Date: _______________________________________________ <br />By: _________________________________________________ <br />Title: ________________________________________________ <br />Date: _______________________________________________ <br />2019 Anti-Heroin JPA Template_Non-Tribal Political Subdivisions (September 2019) 5 <br /> <br />