and 16C. 05 3. State Agency With delegated authority Print name: Print name: Signature: Signature: Title: Date: Title: Date: SWIFT Contract No.:
and 16C. 05. Signature: (with delegated authority) Title: Date:
and 16C. 05. SWIFT Purchase Order Number: Certification Signature: Date: 3. STATE AGENCY: DEPARTMENT OF MILITARY AFFAIRS Contract approval and certification that state funds have been encumbered as required by Minn. Stat. §§ 16A.15 and 16C.05. By: Printed Name: Major General Xxxxx X. Xxxxx Title: Adjutant General Date:
and 16C. 05. By: _______________________________________________ (with delegated authority) Signed: _____________________________________________ Title: ______________________________________________ Date: ______________________________________________ Date: _______________________________________________ SWIFT Contract No. ________________________________
and 16C. 05. Signed: Date: By: (with delegated authority) Title: Date: SWIFT Contract/PO No(s)
and 16C. 05 Signed: Date: SWIFT Contract/PO No(s)
and 16C. 05 Print name: Print name: Signature: Signature: Title: Date: Title: Date: Purchase order number: 3000017085 SWIFT ID number: 114172 Commissioner of Administration As delegated to Materials Management Division Print name: Signature: Title: Date: Attachment 1: Project Work Plan (in accordance with Part B.2.)
and 16C. 05. Signed: By: (with delegated authority) Date: Title: SWIFT PO Number: 3-79700 Date:
and 16C. 05 Print name: Print name: Signature: Signature: Title: Date: Title: Date: SWIFT Contract No.:
and 16C. 05 3. State: Department of Public Safety; State Fire Marshal Division With delegated authority Print name: Print name: Signature: Signature: Title: Date: Title: Date: SWIFT PO Number:
