Amended items
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12/7/2004 2:14:26 PM
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8/18/2003 3:17:45 PM
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I, the authorized officer of the political subdivision, hereby certify that a resolution was passed and <br />authority has been given to me authorizing this agreement. <br /> <br />EXECUTED the date last below signed. <br /> <br />WITNESS: <br /> <br /> MICHAEL MONTPLAISIR, AUDITOR <br /> <br />NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />CONTRACTOR: <br /> <br /> SCOTT WAGNER <br />NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br /> COMMISSION CHAIRMAN <br />TITLE <br /> <br /> o8/t8/o3 <br />DATE <br /> <br />To be signed by Owner; Partner; Corp. Pres., Vice <br />Pres., or other authorized Corp. Officer. (If signed <br />by other authorized Corp. Officer, please attach <br />copy of Power of Attorney or other documentation <br />showing authority to sign.) <br /> <br />WITNESS: <br /> <br />NORTH DAKOTA <br />DEPARTMENT OF TRANSPORTATION <br /> <br />NAME (TYPE OR PRINT) <br />SIGNATURE <br /> <br />DIRECTOR (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br /> DOT 16870 (Div. 09) <br />A.G. Approved 7-17-89; 7-03 <br /> <br />APPROVED as to substance by: <br /> <br />TRAFFIC ,S~I=ETY PROGRAM MANAGER (TYPE OR PRINT) ~E)R THE <br />DI.RECT~'POF DRIVERS LICEN/SE A~!D.,..T~RA~IC SAFETY DIVISION <br /> <br />BATE <br /> <br />50f 5 <br /> <br />DOT 16870 (Div. 09) <br /> <br /> <br />
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