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Form 2044 (Rev. 05/2002) <br />Page 7 of 9 <br />IN ITNESS WHEREOF, the parties have hereunto affixed their signature, the City on the <br />day of , 20 , and the State on the day of 20 <br />Q16 <br />(Name of-other party)- <br />By: <br />5igna e <br />CX k "��� <br />Printed Name <br />rn C1 a' C <br />Title <br />2-I - a <br />Date <br />STATE OF TEXAS <br />Executed and approved for the Texas <br />Transportation Commission for the purpose and <br />effect of activating and /or carrying out the orders, <br />and establishing policies or work programs <br />heretofore approved and authorized by the Texas <br />Transportation Commission. <br />By: <br />Director, Maintenance Division <br />Printed Name <br />Date <br />APPROVAL RECOMMENDED: <br />District Engineer <br />Printed Name <br />