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<br />" <br /> <br />EXECUTED IN DUPLICATE 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 NAME: <br /> <br />PARIS-LAMAR COUNTY HEALTH <br />DEPARTMENT <br /> <br />By: <br /> <br /> <br />MICHAEL E. MALONE, CITY MANAGER <br />(Name and Title) <br /> <br />Date: <br /> <br />RECOMMENDED: <br /> <br /> <br />RECEIVING AGENCY NAME: <br /> <br />TEXAS DEPARTMENT OF HEALTH <br /> <br />By: <br /> <br />?11d~ {(. <br /> <br /> <br />Melanie A. Doyle, Director <br />Grants Management Division <br />(Name and Title) <br /> <br />Date: <br /> <br />~~I Od- <br /> <br />TDH Document No: 75600220672003 <br /> <br />Cover Page 3 <br />