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Department of State Health Services <br />Signature of Autliorized Official <br />Date <br />Bob Burnette, C.P.M., CTPM <br />Director, Client Services Contracting Unit <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 <br />(512) 458-7470 <br />Bob.Bumette@dshs-state.tx.us <br />Contractor <br />Signature of Authorized Official <br />Date: <br />July 28, 2008 <br />Name: Revin Carruth <br />Title: City Ma.nager <br />Address: P. 0- Bog 9037 <br />Paris, T% 75461-9037 <br />Phone: (903) 785-7511 <br />kcarruth@paristezas.gov <br />Email: <br />Page - 2 of 2 <br />0 0 ft0 8'2 <br />