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2004-185-RES CONTRACT CHANGE NOTICE NO. 05 (ATTACHMENT NO. 01B) TDH DOC. NO. 7560022067-2005
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2004-185-RES CONTRACT CHANGE NOTICE NO. 05 (ATTACHMENT NO. 01B) TDH DOC. NO. 7560022067-2005
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8/18/2006 4:27:47 PM
Creation date
10/14/2004 9:06:47 AM
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CITY CLERK
Doc Name
2004
Doc Type
Resolution
CITY CLERK - Date
10/11/2004
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<br />. <br /> <br />TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756-3199 <br /> <br />STATE OF TEX~S <br />COUNTY OF TRAVIS <br /> <br />TDH Document No. 75600220672005 <br /> <br />Contract Change Notice No. 05 <br /> <br />The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing <br />with PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties <br />thereto now desire to amend such contract attachment(s) as follows: <br />SUMMARY OF TRANSACTION: <br />ATT NO. OlB: IMMUNIZATION DIVISION - LOCALS <br /> <br />All terms and conditions not hereb amended remain in full force and effect. <br /> <br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />CITY OF PARIS <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 BEALm DEPARTMENT <br /> <br /> <br />By: <br />(Signature of person au <br /> <br />By: <br />(Signature of person authorized to sign) <br /> <br />(Name and Title) <br /> <br />Bob Burnette, Director <br />Procurement and Contracting Services Division <br />(Name and Title) <br /> <br />Date: <br /> <br />Date: <br /> <br />'6\~l()4 <br /> <br /> <br />DL peSD - Rev. 6/04 <br /> <br />EXHIBIT Ii- <br /> <br />Cover Page 1 <br />
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