Form 4120-6 - Cooperative Range Improvement Agreement Page 3
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414. Special Conditions
COOPERATOR(S)
THE UNITED STATES OF AMERICA
State of
(Signature)
(Date)
District/Field Office
(Signature)
(Date)
By
(Signature)
(Date)
(Signature)
(Signature)
(Date)
(Title)
(Signature)
(Date)
(Date)
Title 18, U.S.C., Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false,
fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.
(Continued on page 4)
(Form 4120-6, page 3)
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