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MINNESOTA <br /> MDH <br /> DEPARTMENToFHEALTH <br /> Protecting, maintaining and improving the health of all Minnesotans <br /> May 24, 2012 <br /> City of New Brighton <br /> c/o Mr. Grant Wyffels <br /> 803 Old Highway 8 NW <br /> New Brighton, Minnesota 55112 <br /> Subject: 2012 Community Fluoridation Grant Agreement for signature <br /> Enclosed are three(3)copies of your 2012 Community Fluoridation Grant. Please do the following: <br /> L Verify that Section 2. GRANTEE'S DUTIES accurately reflects your proposal; <br /> II. Obtain signatures on all three copies of the grant agreement from an authorized agent; and <br /> III. Return all three copies to me. <br /> Once the Minnesota Department of Health(MDH)receives your signed agreements,the agreements will <br /> be routed for MDH signature. A fully executed agreement will be returned to you when all required <br /> signatures have been obtained. The grant agreement shall be effective on June 1, 2012, or upon the date <br /> that the final required signature was/is obtained by the STATE ... whichever occurs later...". To ensure <br /> that your agreement starts as close as possible to the June 1St target date, please obtain signatures and <br /> return the agreements to me as soon as possible. <br /> Also enclosed is a"Photograph Release Form" (not required),the release authorizes the MDH Drinking <br /> Water Protection Section staff to photograph you and use the images in materials that will be used for the <br /> purpose of informing and educating the public about MDH programs. <br /> Grant term dates are June 1, 2012 to August 31, 2012 with a total award of$1,520.00. Use the enclosed <br /> invoice when requesting reimbursement. <br /> Feel free to contact me at 651/201-4665 or anita.smith@state.mn.us if you have any questions or <br /> concerns. <br /> Sincerely, <br /> Anita Smith <br /> Drinking Water Protection Section <br /> PO Box 64975 <br /> St Paul, Minnesota 55164-0975 <br /> Enclosures <br /> General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.us <br /> An equal opportunity employer <br />