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<br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized COntracting Entity (type <br />above if different from PERFORMING <br />AGENCY) for and in behalf of: <br /> <br />CITY OF PARIS <br />PERFORMING AGENCY <br /> <br />By: <br /> <br />(Signature of person authorized <br />to sign contracts) <br /> <br />Michael E. Malone <br />City Manager <br />(Name and Title) <br /> <br />Date: <br /> <br />RECOMMENDED: <br /> <br />By: <br /> <br />(PERFORMING AGENCY Director, <br />if different from person <br />authorized to sign contract) <br /> <br />TDH Document No: C3000897-01 <br /> <br />TEXAS DEPARTMENT OF HEALTH <br />RECEIVING AGENCY <br /> <br />By: <br /> <br />(Signature of person authorized <br />to sign contracts) <br /> <br />Linda Farrow, Director <br />Financial Services <br />(Name and Title) <br /> <br />Date: <br /> <br />APPROVED AS TO FORM: <br /> <br />By: <br /> <br />Office of General Counsel <br /> <br />2 <br />