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dersibned accept the terms and coiiditions of the fiindiug set fortl� herein by executii7g this <br /> ineilt in ihe space sei fortl� below. In iildicating acceptance of the terms ���d conclitions o1'ilus <br /> ti�_ �ment and of ihe funding set forth herein, the unciersigiled also represent(s) and warrailt(s) ihai it/they <br /> has/h�ve tl�e Full corporate power and authority and has/have i�eceived all cot•porate ancl govermnental <br /> authorizations and approvals as nlay be i•equired to enter into and perform its/their oblibations uilcler this <br /> Agreement and that 1t all times it/they will adhere to the terms and conditions set forth herein. <br /> ➢'�OJ�CT S1D�1�S�R(�) <br /> ��' <br /> CIT�' O.F DECA .UR� � , % ' <br /> / l i <br /> / <br /> � 0 <br /> Signature: %' � � <br /> Pi•inted Name: ��(l� _� t' '� <br /> Tiile: Vv`,Pcc�v�( ROUTING - REQUEST <br /> �}�'�\', ,, ,/�„/1 .� �� �Q `\ Please �` ��(� <br /> Date: �j I/�X�'" � ❑ READ To/�.lC�i � <br /> ❑ HANDLE _ <br /> ❑ APPROVE �(,XJC I�� <br /> � ` <br /> and � <br /> ❑ FORWARD — �[� <br /> ❑ RETURN D <br /> ❑ KEEP OR DISCA � <br /> ❑ REVIEW WITH M � (�/` <br /> 1 �v � � <br /> � -- <br /> Date Fro _ <br /> Project #: 2010l�0723 S-? ''`"s' <br />