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IN WITNESS WHEREOF, the parties hereto, intending to be bound hereby. have <br /> caused this Agreement to be duly executed. <br /> RECIPIENT: City OF St.. Anthony STATE OF MINNESOTA <br /> DEPARTMENT OF PUBLIC SAFETY <br /> for. Installation at St. Anthony PD BUREAU OF CRIMINAL APPREHENSION LABORATORY:. <br /> INTOXILYZER 5000 Recommended for Approval : <br /> Serial Number 64-0267 By: <br /> Lowell C. Van Berkom <br /> State asset number 529705 Title: Forensic Laboratory Director <br /> MARK II A SIMULATOR Date: <br /> Serial number M-008238 DEPARTMENT OF PUBLIC SAFETY <br /> State asset number 529890 By: <br /> Description of Equipment ceded to the Title: <br /> State of Minnesota: Date: <br /> Approved as to Form and Execution: <br /> Breathalyzer 900A S/N 381814 <br /> ATTORNEY GENERAL: <br /> By: <br /> �• Date: <br /> RECIPIENT: COMMISSIONER OF ADMINISTRATION: <br /> By: By: <br /> Authorized ignature <br /> Title: <br /> Date: <br /> Date: <br /> APPROVED <br /> By: COMMISSIONER OF FINANCE: <br /> Title: By: <br />-Date-:-------- --Date.:- -- --- <br /> A certified copy of the resolution must be attached authorizing the city Of <br /> St. Anthony to enter into this Agreement and authorizing the <br /> and to execute this <br /> 0 greement. <br /> p <br /> -3- <br />