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<br />EXECUTED IN DUPLlCATb JRIGINALS ON THE DATES SHO"'.,. <br /> <br />CITY OF PARIS <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 />RECOMMENDED: <br /> <br />By: <br /> <br /> <br />RECEIVING AGENCY NAME: <br /> <br />TEXAS DEPARTMENT OF HEALTH <br /> <br /> <br />Linda Farrow, Chief <br />Bureau of Financial Services <br />(Name and Title) <br /> <br />Date: <br /> <br />~ IIJ.J 1~ <br />I f <br /> <br />, ' <br /> <br />APPROVED AS TO FORM: <br /> <br />By: fi ~~ y- Y~1~ <br /> <br />'Office of Ge ral Counsel <br /> <br />TDH Document No: 756002206797 <br /> <br />Cover Page 3 <br />