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: Date: SWIFT Contract No. Title: Date:
and 16C. 05. By: _______________________________________________ (with delegated authority) Signed: _____________________________________________ Title: ______________________________________________ Date: ______________________________________________ Date: _______________________________________________ SWIFT Contract No. ________________________________
and 16C. 05. Signed: By: (with delegated authority) Date: Title: SWIFT PO Number: Date:
and 16C. 05 Signed: Date: SWIFT Contract/PO No(s)
and 16C. 05 3. State Agency With delegated authority Print name: Xxxx Xxxxxxxxx Print name: Xxxxx Xxxxxxxxx Signature: Xx xx Xxxxxxxxx Digitally signed by Xxxx Xxxxxxxxx Date: 2020.06.25 13:56:26 -05'00' Signature: Title: Accoun ting Officer Date: 06/25/2020 Title: Interim Accounting Sup eDravtei:so6r/26/2020 SWIFT Contra ct No.: 179156
and 16C. 05 Print name: Print name: Signature: Signature: Title: Date: Title: Date: Purchase order number: SWIFT ID number: 5. Commissioner of Administration As delegated to Materials Management Division Print name: Signature: Title: Date: Attachment 1: Project workplan (in accordance with Part B.2.)
and 16C. 05 3. Minnesota Department of Health With delegated authority Print name: Xxxx Xxxxxxxxx Print name: Xxxxxxxx Xxxxx Signature: Se th Ra smussen DigitallyDate: 202 signed by Xxxx Xxxxxxxxx 0.11.03 10:20:31 -06'00' Signat ure: Title: Buyer 2 Date: 11/3/2020 Title: COV ID-19 Finance Manag eDrate: 11/4/2020 SWIFT Contract No.: 185135/185136
