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STATE OF MINNESOTA <br />1999-2001 MINNESOTA ReLEAF COMMCJNITY TREE PLANTING <br />GRANT <br />State Accounting Information: <br />Accounting Distribution 1: Accounting Distribution 2: Accounting Distribution 3: <br />Fund: rl1Z/� Fund: Fend: <br />��7iJ <br />APP�� 3% 4 Appr: Appr: <br />o��sub: 3 6 0 3 Org/Sub: Org/Sub: <br />Rept Catg: Rept Catg: Rept Catg: <br />Amount: $6,565.00 Amount: Amount: <br />Processing Information: Begin Date: 03/0 1/00 End Date: 06/30/0 1 <br />Contract: � ��Sc��_S� ����,��; .� �-�" Order: ���� 5�/�'/� ,(�� <br />Number/Date/Entry Initials Number/Date/Signature <br />[Individual signing certiftes that funds have been <br />encumbered as required by Minn. Stat §§ 16A. 1 S <br />and 16C.OS.J <br />NOTICE TO GRANTEE: GRANTEE is required by Minn. Stat.�§ 270.66 to provide your social security number or federal employer tax identification number and <br />Minnesota tax identification number if you do business with the State of Minnesota. This information may be used in the enforcement of federal and state tax laws. <br />Supplying these numbers could result in action requiring GRANTEE to file state tar returns and pay delinquent state tax liabilities, ifany.This arant will not be aooroved <br />unless these numbers are provided. These numbers will be available to federal and state tax authorities and state personnel involved in approving the grant and the payment <br />of state obligations. <br />Grantee Name and Address: Ciri of Roseville <br />Parks and Recreation <br />2800 Arona Street <br />Roseville. MN 55 113 <br />SoC. Sec. or Federal Employer I.D. No. Minnesota Tax I.D. No. (if applicable) <br />THIS PAGE OF THE GRANT CONTAINS PRIVATE INFORMATION. <br />EXCEPT AS DEFINED ABOVE, THIS PAGE SHOULD NOT BE REPRODUCED <br />OR DISTRIBUTED EXTERNALLY WITHOUT EXPRESS WRITTEN PERMISSION <br />OF THE GR��NTEE. <br />__ If 3�au circr�late thi�gran� internctlly, only o�ces that require access to the tax identiftcation number <br />AND any individuals/offices signing fhis grant should have access to this page <br />ADMIN. IOSlgrc.wpd (07-01-991 Minnpota ReLesf Communiry Tree Plandng. Forat Inventory, & Forest Health Grant (DNR/ForesW Contrecl Numbtr) <br />