Amended items
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12/7/2004 2:14:41 PM
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1/20/2004 7:13:56 PM
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All other terms and conditions of the above-referenced contract are incorporated herein <br />by reference and remain in full force and effect. <br /> <br />EXECUTED the date last below signed. <br /> <br />WITNESS: <br /> <br />CONTRACTOR: <br /> <br />NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <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 copy <br />of Power of Attorney or other documentation showing <br />authority to sign.) <br /> <br />COMPANY NAME <br /> <br />OFFICER'S NAME (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />TITLE <br /> <br />DATE <br /> <br />WITNESS: <br /> <br />NORTH DAKOTA DEPARTMENT <br />OF TRANSPORTATION <br /> <br />NAME (TYPE OR PRINT) <br />SIGNATURE <br /> <br />DIRECTOR (TYPE OR PRINT) <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br />APPROVED as to substance by: <br /> <br />DIVISION DIRECTOR (TYPE OR PR~I') <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br /> DOT 52494 (Div. 06) <br />L.D. Approved 5-19-00; 5-03 <br /> <br />2 of 2 <br /> <br />DOT 52494 (Div. 06) <br /> <br /> <br />
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