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<br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES INDICATED. <br /> <br />RECEIVING AGENCY <br /> <br />PERFORMING AGENCY <br /> <br />CITY OF P ARlS <br /> <br />DEPARTMENT OF STATE HEALTH <br />SERVICES <br /> <br />(Name) <br /> <br />By: <br />Bob Burnette, Director <br />Client Services Contracting Unit <br /> <br />By: <br /> <br />(Title) <br /> <br />Date: <br /> <br />Date: <br /> <br />Recommended by: <br /> <br />VID#: 35375375371000 <br /> <br />(Name and Title) <br /> <br />APPROVED AS TO FORM: <br /> <br />By: <br /> <br />(Name and Title) <br /> <br />DSHS DOCUMENT NUMBER: 537537537 A *2008P-Ol <br /> <br />4 <br />