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IN WITNESS WHEREOF,the parties have caused the grant to be duly executed intending to be bound thereby. <br /> APPROVED <br /> 1.GRANTEE 2. DEPARTMENT OF PUBLIC SAFETY <br /> By: By: <br /> Title: Title: <br /> Date: Date <br /> By: <br /> Title: <br /> Date <br /> 3 ENCUMBERED BY <br /> By: <br /> Date: <br /> Person(s)signing the Agreerent and obligating GRANTEE to the conditions of the Agreement, must be authorized. A certified <br /> copy of the resolution auftriang the GRANTEE to enter into this Agreement and designating person(s) to execute this <br /> Agreement must be attache_hereto. <br /> NOTICE TO GRANTEE: If G:,AN7 EE is other than a government agency,it is required by Minnesota Statutes, Section 270.66, <br /> to provide the social security rumtear or Minnesota tax identification number if it does business with the State of Minnesota.This <br /> information may be used in tte er-dorcement of federal and state tax laws. Supplying these numbers could result in action to <br /> require you to file state tax retrns and pay delinquent state tax liabilities. These numbers will be available to federal and stat <br /> tax authorities and state pemnneel involved in the payment of state obligations. <br /> Page 4 of 4/1999 Conmmnity Notification Reimbursement/St.Anthony Police Department <br />