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DATE <br />To the City of <br />Address <br />City, State ZIP <br />The City has adopted an administrative procedure to document awareness of (and <br />compliance with) Minnesota Statute 471.87 (Public Officers, Interest in <br />Contract; Penalty) and related legislation. <br />The procedure requires all elected officials, commission members, department <br />heads and employees who may influence financial transactions of the City to sign <br />this letter. We will retain this letter on file to document City awareness of <br />(and compliance with) Minnesota Statute 471.87 and related legislation. We have <br />attached excerpts of Minnesota Statutes for your reference. <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br />I have read the attached Minnesota Statute 471.87, 471.88, 471.881 and 471.89. <br />I understand that the term "contract" includes the purchase of goods and <br />services. <br />I hereby certify that I have not voluntarily had a personal financial <br />interest in the sale, lease or contract of the City nor have I personally <br />benefited from any such transaction. <br />By: <br />Title: <br />Date: <br />1 lI hereby certify that I have (had) a personal financial interest in a sale, <br />lease and /or contract of the City and /or have personally benefited finan- <br />cially from such a transaction. The circumstances and statutory exception <br />(authority) for all such financial interest are described as follows: <br />By: <br />Title: <br />Date: <br />34 <br />