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Grant for Legislatively-named Municipality FY19: Updated November 2018 6 <br />1. STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered as <br />required by Minn. Stat. '' 16A.15 and 16C.05 <br />Signed: <br />Date: November 24, 2021 <br />SWIFT Contract/PO No(s). 204020 / 3-201037 <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) have executed the grant <br />contract on behalf of the Grantee as required by applicable articles, bylaws, <br />resolutions, or ordinances. <br />By: <br />Title: <br />Date: <br /> <br />By: <br />Title: <br />Date: <br /> <br /> <br />3. STATE AGENCY <br />By: <br />(with delegated authority) <br />Title: <br />Date: <br /> <br /> <br />DocuSign Envelope ID: 065F83CA-61C8-441A-99AB-0093E546627C