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<br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized Contracting Entity (type above if different <br />from PERFORMING AGENCY) for and in behalf of: <br /> <br />PERFORMING AGENCY NAME: <br /> <br />PARIS-LAMAR COUNTY HEALTH <br />DEPARTMENT <br /> <br />By: <br /> <br />(Signature of person authorized to sign contracts) <br /> <br />MICHAEL E. MALONE, CITY MANAGER <br />(Name and Title) <br /> <br />Date: <br /> <br />07-17-00 <br /> <br />RECOMMENDED: <br /> <br />By: <br /> <br />/;, <br /> <br /> <br />. RMING AGENCY Director, if different <br />fron{person authorized to sign contract) <br /> <br />RECEIVING AGENCY NAME: <br /> <br />,-~_. <br />, <br /> <br />TEXAS DEPARTMENT OF HEALTH <br /> <br /> <br />Sidney P. Shelton, Cltief <br />Bureau of Financial Services <br />(Name and Title) <br /> <br />Date: <br /> <br />7/c; ko <br /> <br />, <br /> <br />TDH Document No: 756002206701 <br /> <br />~ <br /> <br />Cover Page 3 <br />