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16. Signature Warranty: <br />The undersigned represent and warrant that they are authorized to bind their principals to the terms of this agreement. <br />In Witness Whereof, the Gr tee and the Agency have executed this Contract in duplicate originals, with one original <br />being retained b each pa <br />Orang ty <br />~,~ ~ ~~ w <br />Sign re of Authorize Repr ntative Dat <br />1/i~ CE' Ri E p . F'a ~Sl`!EC Cl~~Q <br />Printed Name Title <br />Insert NOTARY SEAL <br />~c~yt~t;~ r~L?R~q~on <br />r.` ~'~ G <br />.~ ~ ~r, <br />'.~/] ~ f ` ' ~ ~~ <br /><L A ~ f J <br />~U <br />~C 6' ~.7 <br />\\ ~;~'Vlz;y)FD 1y'1 <br />~ !'~ <br />., ~J `~ G <br />- NOTARY _ <br />= PUBLIC <br />Q~~~ ~v <br />Notary Signature <br />O <br />Notary Commission Expiration Date <br />North Carolina Department <br />Signature of Authorized Representative <br />i er Services <br />^. g • 7~ Zo <br />Date <br />N. David Smith Chief Deputy Commissioner <br />Printed Name Title <br />MS&NCD Form 0009A Grant Cover Sheet CE <br />Eff. 9/2005 Revised 02/09 <br />Revised 5/06, 7/07, 7/10 ~ Page 6 of 5 <br />