TEXAS DEPARTMENT OF ROUSING AND COMPdMTY AFFAIRS
<br />HOME Proskl!;Ik:ram Contract Sy=stem AccessA uest Form
<br />Contract Administmtor Name: City of Paris Administrator Phone Number: 903-784-9202
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<br />Physical Address (stwt, city, ZIP, : 135 i5' 3t SE, Paris, 75460
<br />Mailing Address: 133 i� St. SE, Pans, TX 75460 Eath@paw,texas.gov
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<br />HOME C t UR RSP Agreement Number: RSP #20 14-0013 Administrator Tax ID #: 75-60OW6359
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<br />Athni bunwe Fiscal Year Begins: 10/1 ---------- --- -- +Administrator's Fiscal Year Eads: 9/3U
<br />Contract.. Execution -.
<br />Individual authorized t. ..................o execute a contract an behalf of Contract Administrator.
<br />Also has authority to enterand approve project set-ups and draw requests.
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<br />'9110348. 9200'22 Faxt:
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<br />F-mailogpadi@p6swxas.gov
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<br />i certify that all 1*ndi"'duabl"denfified in t "s document are authorized to perform the functions as specified
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<br />haveresent Contract
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<br />•Name
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<br />Phone.*, 903-784o-
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<br />Add ❑Remove °' Title: City M anager
<br />Fax: 9Q3-785-8519 Email: gpath@paristexas.gov
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<br />Data Entry and A royal Authorizations-
<br />Individuals authorized to enter and approveproject set-ups or draw requests.
<br />Note: individua l who enters an activity set-up or draw request cannot be the same individual who approves that transaction.
<br />Name 1: Carla Easton}.
<br />Add Remove
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<br />Contract System BD #0 Phone: 901-m-78 9292
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<br />Signature:
<br />Title: City Engineer
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<br />Email:-
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<br />Dates,
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<br />Consultant Inform......
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<br />onsul'tartts may enter data into TDHCA Contract System, and approve set-ups and/or draw requests.
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<br />on N� and Addmu: Resou= M ent & Consulting Co.P.O. Box 6031 Paris� TX 75461
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<br />Phone.* 903484w6439 Fax: 903,w784e,2940
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<br />Texas Department of Housm"g and Community Affairs Page i of 1
<br />Fom 02.0 1 - HOME Counct System Access Request Form Revised 74013
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