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2004_0126_Packet
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2004_0126_Packet
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5/9/2014 8:42:32 AM
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As authorizedby the Agreement and noting the above requirements, which pertain to you specifically, <br />please indicate below your intention to extend or not to extend this agreement through the year 2004. <br />Please return the originals of this page and the acknowledgement page and a copy of affirmation as <br />�onsuitaixt/Third Party, as required, to the attention of Robert�Moulder at the address shown at the top of <br />page 1 as soon as possible. <br />Please check (X) appropriate box. <br />It IS our intenfion to e�tend this agreement through the year 2004. <br />It is LYQT our intenfion to extend this agreement through the year 2004. <br />We no longer require this information. <br />Signature: <br />Authorized Signature <br />Title: <br />Date: <br />If you have any questions about this notice, please call Robert Moulder at 612-348-2618 for assistance. <br />Sincerely, <br />r� J� t i <br />. ry. f zy � <br />F T �' F � <br />Sandra L. Vazgas <br />County Administrator <br />Attachment <br />� <br />� <br />
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