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IN WITNESS WHEREOF, the F rties hereto, intending to be bound hereby, have <br />caused this Agreement to be duly executed. <br />RECIPIENT: City OF Moundsview <br />for Installation at Moundsview PO <br />INTOBILYZER 5000 <br />Serial Number 64-0262 <br />State asset number 529700 <br />MARK II A SIMULATOR <br />Serial number M-008233 <br />State asset number 529885 <br />Description of Equipment ceded to the <br />State of Minnesota: <br />Breathalyzer 900 S/N 6805 (MSP) <br />RECIPIENT: <br />By: <br />Title: <br />Date: <br />By: <br />Tit <br />Date: <br />STATE OF MINNESOTA <br />DEPARTMENT OF PUBLIC SAFETY <br />BUREAU OF CRIMINAL APPREHENSION LABORATORY: <br />Recommended for Approval: <br />By: <br />Lowell C. Van Berkom <br />Title: Forensic Laboratory Director <br />Date: <br />DEPARTMENT OF PUBLIC SAFETY <br />By:_ <br />Title: <br />Date: <br />Approved as to Form and Execution: <br />ATTORNEY GENERAL: <br />By: <br />Date: <br />COMMISSIONER OF ADMINISTRATION: <br />By: <br />Authorized Sgnature <br />Date: <br />APPROVED <br />COMMISSIONER OF FINANCE: <br />By: <br />Date: <br />A certified copy of the resolution must be attached authorizing the City of <br />Moundsview to enter Into this Agreement and authorizing the <br />and to execute this <br />,reement. <br />-3- <br />