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<br />f) <br /> <br />DEPARTMENT OF STATE HEALTH <br />1100 WEST 49TH STREEl <br />AUSTIN, TEXAS 78756-3H <br /> <br />fdy <br />~ <br /> <br />STATE OF TEXAS <br />COUNTY OF TRAVIS <br /> <br />)22067 A2oo5 <br /> <br />Contract Change Notice No. 01 <br /> <br />The Department of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in <br />writing with PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The <br /> <br />arties thereto now desire to amend such contract attachment(s) as follows: <br />SUMMARY OF TRANSACTION: ATI NO. 02A CHS-FEE FOR SERV.-FAMILY PLANNING <br />Revised Contract Total: 14,375.00 <br />REVISED TERM: Seotember 01,2004 THRU: December 31,2005 <br />All terms and conditions not herebv amended remain in full force and effect. <br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br />CITY OF PARIS <br />Authorized Contracting Entity (type above if different <br />from PERFORMING AGENCY) for and in behalf of: <br />PERFORMING AGENCY: RECEIVING AGENCY: <br />PARIS-LAMAR COUNTY HEALTH DEPARTMENT DEPARTMENT OF STATE HEALTH SERVICES <br />.,("'..:;~.~) , By: <br />(Signature of person aullmized to sign) <br /> CITY OF PARIS, PARIS, TEXAS Bob Burnette, Director <br />Tony N. Williams, City Manager Client Services Contracting Unit <br />(Name and Title) (Name and Title) <br />Date: August 22, 2005 Date: <br />:~:COMAN7~. <br />(PERFORMING AGENCY Director, if different <br />from person authorized to sign contract) <br /> <br />KR CSCU - Rev. 6/05 <br /> <br />Cover Page 1 <br />