Laserfiche WebLink
<br />f) <br /> <br />TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756-3199 <br /> <br />STATE OF TEXAS <br /> <br />TDH Document No. 75600220672000 <br />CONTRACT CHANGE NOTICE NO. Ql <br /> <br />COUNTY OF TRAVIS <br /> <br />The Texas Department of Ilealtll, hereinafter referred to as RECEIVING AGENCY, did herelofore enter into a contract in writing with <br />PARIS-LAMAR COUNTY HEALTH DEI'ARTMENT hereinafter referred to as PERfoORMING AGENCY. TIle parties thereto now <br />desire to amend sueh contract attachment(s) as follows: <br /> <br />SUMMARY OF TRANSACTION: <br />ATT. NO. 03: DNS - WIC CARD PARTICIPATION <br /> <br />All terms and condilions not hereb amended remain in full force and effect. <br /> <br />EXECUTED IN DUPLICATE ORIGINALS ON TilE DATES SHOWN. <br /> <br />Authorized Contracting Entily (type above if different <br />from PERFORMING AGENCY) for and in behalf of; <br /> <br />PERFORMING AGENCY: <br /> <br />RECEIVING AGENCY: <br /> <br />I'ARJS-LAMAR COUNTY m~ALTII DEPARTMENT <br /> <br />(Signature or person aUlhorized (0 sign contracts) <br /> <br />TEXAS DEI'AI~TMEN1~.0: II?/ LL <br /> <br />Dy: /:~ <br /> <br /> <br />person authorized 10 sign contracts) <br /> <br />Dy: <br /> <br />MICHAEL E. MALONE, CITY MANAGER <br />(Name and Title) <br /> <br />Sidney P. Shelton, Chief <br />nllrc3U or Financiill Services <br />(Name and Title) <br /> <br />Date: <br /> <br />Date:~'11 <br /> <br />,...: 1..\ <br /> <br />RECOMMENDED: <br /> <br /> <br />DM GMD - Rev. 3/9'J <br /> <br />Cover Page I <br /> <br />, <br /> <br />EXHIBIT A <br />