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1�U�-15-UU inU 11 � 4� xi�i �i i'Y i��l�luyU�x/�r�UtiL , ,� rtie i�u, �i ���4�r�� r, c 1 <br /> , <br /> Nov-15-Z000 11:36 Frw�-DCCA Il FiR;T t(T-36T�AA88 T-o28 P 002/007 F-792 <br /> Legal S�atu.s (ctreck one) : <br /> � Yridividuil 7'�Governme�t e,:tity I <br /> ...�„ Owtier of eole prcpri�Lorship _ Nonresideat :�lien individual <br /> Partnezahip Bstate or lec�al trust <br /> ,r Tax-ex+�mpt hoepicai or Foreiga corparaciozi <br /> extended eare facility partrtership escace ar trnsc . <br /> Corporation providi or Ocher - not-�`or-profit <br /> billing tn�dioal ar�d�or organizatio:i: <br /> h�alth carQ �ervicea <br /> Corporation N'OT providiag or _ OCher: +, <br /> bil].ing medica� andJor <br /> health care servic�� <br /> The Grantee acknowl�dgea chat the individual sigaing below is autharized <br /> co exeeute thio Agreea►tnt and t�iat such signature cva�titu�es the <br /> aceeptance of this Agreenuenz. <br /> GRANTEE: . <br /> City of Decatu or Deea�ur PubZ � ibrary <br /> Hy: TtrtY M, �ot►lYy. AI4Yor <br /> (S' nature) Print Or Ty��e <br /> 8TATE OF ILLY S PARTM�N? OF C0�IMERC$ AND COl�+ItJNI'�'Y AFFAZRS <br /> aY; �� �- 2-a!� <br /> Pam McDar�oug , D�re aLe - <br /> Gra�nCee AddrQss: Piease iz�dic:ate any chaz�gae below <br /> for Decatu= Public Library <br /> 130 N Franikin s�reet � <br /> Doc�ttuz, IL 6Z523-1327 <br /> ChieF Exec: Terry Howle]+ <br /> Fhoae: (�l�) 424 - 2900 <br /> The follvwing i8 designated a� adminiscracor Eor the Grantee: <br /> Chiaf Ex�c; _ <br /> Phone: <br /> 10/16/2000 10:29:37 - 2 - <br />