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TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br /> AUSTIN, TEXAS 78756-3199 <br /> <br />STATE OF TEXAS <br /> <br />COUNTY OF TRAVIS <br /> <br />TDH Document No. 7560022067 2002 <br /> <br /> Contract Change Notice No. 0i <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. 04 : BNS - WIC CARD PARTICIPATION <br /> <br />All tcrms and conditions not hereby amended remain in full force and effect. <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: <br /> <br />PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br /> <br />By: <br /> (Signature of person authorized to sign) <br /> <br /> MICHAEL E. MALONE, CITY MANAGER <br /> (Name and Title) <br /> <br />Date: 08-09-2001 <br /> <br />(PE~5~/l'qO AGENCY Director, if different <br /> (_~om person authorized to sign contract <br /> <br />RECEIVING AGENCY: <br /> <br />TEXAS DEp_.4kRTMENT OF HEALTH <br /> <br /> (Signature of person authorized to sigh <br /> <br />Melanie A. Doyle, Director <br />Grants Management Division <br />(Name and Title) <br /> <br />CN GMD - Rev. 12/00 <br /> <br /> Cover Page 1 <br /> <br />EXHIBIT <br /> <br /> <br />