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FWC Agreement No. 13127 <br />By signing below, Grantee certifies the representations outlined in parts A through E above are true and correct. <br />(Signature and Title of Authorized Representative) <br />Grantee Date <br />(Street) <br />(City, State, ZIP Code) <br />ATTEST: Jeffrey R. Smith, Clerk of Court <br />and Comptroller <br />BY: <br />(Seal) Deputy Clerk <br />Joneph A. Baird <br />kf:Aoovnty Administrator <br />APPROVED AS TO FORM <br />AND LEGAL SUFFICIENCY <br />BY <br />LAN REINGOLD <br />COUNTY ATTORNEY <br />Ver. September 2013 Attachment B, Page 4 of 4 <br />140 <br />