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<br />TO BE COMPLETED BY EMPLOYER MEMBER: <br />EMPLOYER MEMBER BENEFITS COORDINATOR <br />Name W. E. Anderson <br />Title Personnel Director <br />Mailing Address P. o. Box 9037 <br />Street Address (if different from above) <br /> 135 1st Street S.E, <br />City/State/Zip' Paris, Texas 75461-9037 <br />Phone 903-785-7511 ext. 241 <br />FAX 903-785-8519 <br /> <br />I i-~-::~:::::::" <br /> <br />I, <br /> <br />II <br /> <br />I <br />~===-:::~:==:::_-::::=:::=:::::=::::~::::::::::::= <br /> <br />Inlcrlocal Agreement (rev. 3/1/96) )'''gc 4 <br /> <br />-" :::::, :::::~::=-=-I <br /> <br />I <br /> <br />I <br />I <br />I <br />I <br />II <br />'I <br />II <br />i I <br />, ' <br />, , <br /> <br />i <br />I <br />I! <br />II <br />II <br />Ii <br />! I <br /> <br />I <br />, <br />! : <br />i! <br />i! <br />I' <br />, I <br />'I <br />: I <br />, <br /> <br />I <br />II <br />