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• <br />STATE OF MINNESOTA <br />GRANT CONTRACT <br />ACCOUNTING INFORMATION: PROVIDING AGENCY'S Seller Fund Seller Agency <br />Agency: P07 <br />Fiscal Year: 2002 <br />Vendor Number: 053466001 <br />Total Amount of Contract: $585.00 <br />Amount of Contract First FY: $585.00 <br />Accounting Distribution 1: <br />Accounting Distribution 2: <br />Accounting Distribution 3: <br />Fiscal Year: 2002 <br />Fiscal Year: <br />Fiscal Year: <br />Object Code: 5B00 <br />Object Code: <br />Object Code: <br />Fund: 300 <br />Fund: <br />Fund: <br />Appr.: 217 <br />Appr. <br />Appr. <br />Org. /Sub.:2282 <br />Org. /Sub. <br />Org. /Sub. <br />Rept. Catg.: TRNG <br />Rept. Catg.: <br />Rept. Catg.: <br />Amount: $585.00 <br />Amount: <br />Amount: <br />Processing Information: (Some entries ma not apply) <br />61/2_ 6%o ( <br />Requisition: 2000 -1292 Solicitation: <br />Number/Date/Entry Initials <br />Contract: <br />Number/Date/Entry Initials <br />Number/Date/Entry Initials <br />Order: 2000 -6151 <br />Number/Date /Signatures <br />(Individual signing certifies that funds have been encumbered <br />as required by Minn. Stat. §16A15 and 16C.05) <br />NOTICE TO GRANTEE: You are required by Minnesota Statutes. Section 270.66 to provide your social security number or Federal employer tax identification <br />number and 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 <br />tax laws. Supplying these numbers could result in action to require you to file state tax returns and pay delinquent state tax liabilities. This grant contract will not be <br />approved unless these numbers are provided. These numbers will be available to federal and state tax authorities and state personnel involved in approving the grant <br />contract and the payment of state obligations. <br />Grantee Name and Address: <br />City of Lino Lakes <br />640 Town Center Parkway <br />Lino Lakes, MN 55014 <br />Soc. Sec. or Federal Employer I.D. No. If �?Il , %icy t <br />Minnesota Tax I.D. No. (if applicable) 679.421./.22 <br />THIS PAGE OF THE GRANT CONTRACT CONTAINS PRIVATE INFORMATION. <br />EXCEPT AS DEFINED ABOVE, THIS PAGE SHOULD NOT BE REPRODUCED OR DISTRIBUTED <br />EXTERNALLY WITHOUT EXPRESS WRITTEN PERMISSION OF THE GRANTEE <br />Chapter A If you circulate this grant contract internally, only offices that require access to the tax identification number <br />AND all individuals /offices signing this grant contract should have access to this page. <br />ADM IN 1051 grc.doc (07- 01 -98) Grant Contract Department of Public Safety/Emergency Management &City of Lino Lakes) <br />Page 0 <br />