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<br />TEXAS DEPART~E~T OF HEALTH CONTRACT <br />1100 west ~9th Street <br />Austin. Texas 78756-3199 <br /> <br />STHE OF TEXAS <br />COGNTY OF TRAVIS <br /> <br />TDH Document No. C3000763 <br /> <br />This contract is between the Texas Denartment of Health. hereinafter referred to <br />as RECElVI~G .AGDCY, and the party l1sted below as PERFOR~lING AGENCY and <br />includes general provisions and attachments detailing scope(s) of work and <br />special provisions. <br /> <br />, <br /> <br />: PERFOR~IING AGENCY: CITY OF PARIS I <br /> <br />1=====================================================================================) <br /> <br />l (PRDT or THE) ) <br /> <br />: Mailing Address: <br /> <br />\ <br /> <br />I Street Address: 150 SOUTHEAST FIRST STREET PARIS TX 75~61-90371 <br />: III dllterentl (City) (SL) (lip) : <br /> <br />:=====================================================================================: <br /> <br />\ Authorized I <br />: Contracting Entity: ! <br />(It different lrom PICRt'ORMING AGENCy) , <br />1_____________________________________________________________________________________1 <br />,-------------------------------------------------------------------------------------\ <br />: Payee Name: CITY OF PARIS i <br />I (Must match With vendor ldentlllcatlon number shown below) / <br />: Payee Address: P. O. BOX 9037 PARIS IX 75461-9037: <br />, (Must matCh With vendor Identification number shown Eelow) , <br />: State of Texas Vendor Identification No. (14 digitsl: 17560006359000 : <br />; Finance Officer/Contact: STEWART DODSON : <br />I / <br />I Type of Or!!anization: GOVT ENTY , <br />: Desi!!nate:' Elementarv/secondary school, Junior college, senior colleg'e/unlverslty : <br />I city; county, other p~litical subdivision, council of governments, juaicial , <br />I district. community services program, individual. or other (define) , <br />( Is this a small business No (Yes/No) and/or minority/woman owned No (Yes/No) : <br />I Is this a non-profit business Yes (Yes/No) 1 <br />l PAYEE AGENCY Fiscal Year Ending ~Ionth: DECEMBER : <br />,------------------------------------------------------------------------------------_\ <br />1-------------------------------------------------------------------------------------/ <br /> <br />: SUMMARY OF TRANSACTION: : <br />, , <br />I / <br />: Contract for Public Health Services. : <br />I \ <br />I I <br />I I <br />/ I <br />, , <br /> <br />P.ARIS <br /> <br />(City) <br /> <br />IX 75461-9037) <br />(St) (lip) <br /> <br />P. O. BOX 9037 <br /> <br />COVER - Page 1 <br /> <br />t.XH!B!T A <br />