Laserfiche WebLink
TEXAS DEPARTMENT OF HEALTH <br /> I100 WEST 49TH STREET <br /> AUSTIN, TEXAS 78756-3199 <br /> <br /> STATE OF TEXAS TDH Document No. 7560022067 2003 <br /> COUNTY OF TRAVIS Contract Change Notice No. 02 <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 thereto <br />now desire to amend such contract attachment(s) as follows: <br /> SUMMARY OF TRANSACTION: <br /> ATT NO. 05 : BNS - WIC CARD PARTICIPATION <br /> <br /> All terms and conditions not hereby 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: RECEIVING AGENCY: <br /> PARIS-LAMAR COUNTY HEALTH DEPARTMENT TEXAS D.F.,P.A.RTMENT OF HEALTH <br /> <br /> By: By: ~ ' <br /> (Signature of person authorized to sign) (Signature of person authorized to sign) <br /> <br /> Melanie A. Doyle, Director <br /> t'tichael E. F. alonea, C'it? l, lanalger Grants Management Division <br /> (Name and Title) (Name and Title) <br /> <br /> Date: Date: I&l {~{0~ <br /> RECOMME ED: - / <br /> <br /> (PE~/~)I~G A'GEN~'Y Director, if different <br /> ,~m person authorized to sign contra~t <br /> <br /> VW GMD - Rev. 12/00 <br /> <br /> Cover Page 1 <br /> EXHIBIT.&_ <br /> <br /> <br />