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<br />- <br />'. <br /> <br />~ <br /> <br />TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756-3199 <br /> <br />STATE OF TEXAS <br /> <br />TDH Document No. 7560022067 200t <br /> <br />COUNTY OF TRAVIS <br /> <br />CONTRACT CHANGE NOTICE NO. lU <br /> <br />The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing with <br />PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto now <br />desire to amend such contract attachment(s) as follows: <br /> <br />SUMMARY OF TRANSACTION: <br />ATT. NO. 03A: BNS - WIC CARD PARTICIPATION <br /> <br />All terms and conditions not hereb amended remain in full force and effect. <br /> <br />EXECUTED IN DUPLlCATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized Contracting Entity (type above if different <br />from PERFORMiNG AGENCY) for and in behalf of: <br /> <br />PERFORMING AGENCY: <br /> <br />RECEIVING AGENCY: <br /> <br />PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br /> <br />TEXAS DEPARTMENT OF HEALTH <br /> <br />.~ <br /> <br /> <br />By: <br /> <br />By: <br /> <br />(Signature of person authorized to sign contracts) <br /> <br />MICHAEL E. MALONE, CITY MANAGER <br /> <br />(Name and Title) <br /> <br />Sidney P. Shelton, Chief <br />Bureau of Financial Services <br />(Name and Title) <br /> <br />Date: <br />. <br /> <br />(,> '.1-.:' .1.CI'11 <br /> <br />Date: <br /> <br />It,(~.~ooo <br /> <br /> <br />RM G AGENCY Director, if different <br />rom person authorized to sign contract) <br /> <br />eN GMD - Rev. 3/99 <br /> <br />Cover Page 1 <br />c... _ 181T A <br />