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2001_0507_packet
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2001_0507_packet
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5/8/2014 1:20:52 PM
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10/25/2010 1:37:11 PM
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Roseville City Council
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Council Agenda/Packets
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1. STATE ENCUMBRANCE VERIFICATION <br />Inrlividual cert�es that furids lury¢ been encumbered as <br />required b Mi tat 16A.15 d 16C.05. <br />Signed: <br />Date: � G <br />CFMS Contract No. A <br />2. CITY OF ROSEVII,LE <br />The City certifies that the appropriate person(s) <br />have executed the contract on behalf of the City as <br />required by applicable articles, bylaws, resolutions, or ordinances. <br />By: <br />Title: <br />Date: <br />By: <br />Title: <br />Date: <br />M11/DOT Agreement No. 81361 <br />3. STATE AGENCY <br />By: <br />(with delegated authority) <br />Title: <br />Date: <br />4. COMMISSIONER OF ADMINISTRATION <br />As delegated to Materials Management Division <br />By: <br />Date: <br />5. ATTORNEY GENERAL <br />As to form and execution <br />By: <br />Date: <br />City's Signature Acknowledgtnent <br />This instrument was acknowledged before me this day of <br />by th e <br />(name) <br />and the <br />(name) <br />of <br />(city) <br />[notary seal] <br />NOTARY PUBLIC <br />2001, <br />(title) <br />(title) <br />My Commission Expires: <br />Rev 11/00 Joint Powers Agreement for ProfeSS10Ii31/TeCh�IC81 Services 7 <br />
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