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d I lI Il E S O T A <br />ID <br />DEPARTIAENTor HEALTH <br />Standard Grant Template Versi T]..d, 6�/�14 <br />Grant Agreement Number Xi'/ . 9T? <br />Between the Minnesota Department of Health and City of Blaine <br />IN WITNESS WHEREOF, the parties have caused this grant agreement to be duly executed intending to be bound <br />thereby. <br />APPROVED: <br />I. Grantee 2. State Agency <br />The Grantee certifies that the appropriate persons(s) have executed the Grant Agreement approval and cert f cation !hat Slate funds have been <br />grant agreement on behalf of the Grantee as required by applicable encumbered as required by Minn. Stat. §§16A.15 and 16C.05. <br />articles, bylaws, resolutions, or ordinances, <br />By: By: <br />Title: Title: <br />Date: Date: <br />By: <br />Title: <br />Date: <br />Distribution: <br />Agency — Original (Ally executed) Grant Agreement <br />Grantee <br />Slate Authorized Representative <br />(with delegated authority) <br />Page 8of8 <br />