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IRREVOCABLE <br />LIMITED POWER OF ATTORNEY <br />LOCAL GOVERNMENT INVESTMENT POOL <br />Local Government Unit <br />hereby appoints the <br />Investment Manager of the Oregon State Excess Fund, asAttorney-in Fact and said officer shall have the <br />Power of Attorney to negotiate fund transfers to the Oregon Department of Transportation, Financial <br />Services Branch, and delivered to said Chief Financial Officer or Staff delegated the authority; for the <br />State of Oregon, for the purpose of depositing this proceeds of such fund transfer to the account of the <br />Oregon Department of Transportation, Financial Services Branch with-the State Treasurer. <br />The <br />Local Government Unit <br />has deposited with the State <br />of Oregon Investment Pool the sum of $ in Account No. <br />The purpose of this deposit is to create a fund &orn which to pay its share of the cost of certain <br />improvements to be made in connection with <br />By this document it authorized the Chief Financial (?lEcer of the <br />-- • • ~- --~•~~._~ •__~ au~==.,aity w uiaw on me account to pay project costs. The signature of State upon a <br />voucher in a forni acceptable to the custodians of the State Investment Pool shall constitute proper <br />authority for the withdrawal of money,up to the total amount of the deposit identified above. <br />The authorized signature shall be furnished b the Chief Financial Officer of the Oregon Department of <br />Transportation to the State Treasury Department. <br />was authorized by <br />Local Government Unit <br />this <br />governing body. <br />da_y of , 200 by a vote of the majority of a quorum of its <br />Approved by: <br />Title <br />Date <br />