GRANTEES: YOU WILL NOT BE PAID FOR SERVICES RENDERED PRIOR TO <br /> NECESSARY STATE APPROVALS <br /> I hereby certify and affirm I am eligible and authorized to sign this <br /> agreement on behal of the GRANTEE. <br /> By: Date ~ <br /> _ . <br /> Title: <br /> Mailing Address: h G <br /> Lb ~ <br /> Facsimile: ~y~~j, l ' <br /> STATE OF OREGON <br /> Acting by and through its <br /> Oregon Youth Conservation Corps City of Eugene Public Works <br /> <br /> Grantor Grantee <br /> n <br /> a Wiz', <br /> uthorized Signature to A orized Si tore Dat <br /> Ron Adams Director <br /> Printed Name - - Title - - - - - - Printed_N - - - - - -T-i-tle- - - <br /> 6 <br /> <br />