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3000283877 State Accounting Information PO Number: ________________ 1. STATE ENCUMBRANCE VERIFICATION 3. DEPARTMENT OF NATURAL RESOURCES Individual certifies that funds have been encumbered as required by Minn. Stat. '§ 16A.15 and 16C.05. By: ___________________________ By: ________________________________ with delegated authority Date: ___________________________ Purchase Order Number: Name: Kelly Straka 3000283877 ________________________Title: Director, Division of Fish and Wildlife Date: __________________________ 274607 Contract #:____________________ 2. GRANTEE The Grantee certifies that the appropriate person(s) have executed the grant contract on behalf of the Grantee as required by applicable articles, bylaws, resolutions, or ordinances. By: By: Name: Name: Title: Title: Date: Date: By: By: Name: Name: Title: Title: Date: Date: Rev. 8/21 12 Qbhf!86!pg!558