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EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized Contracting Entity (type above if differem <br />from PERFORMING AGENCY) for and in behalf of: <br /> <br />PERFORMING AGENCY NAME: RECEIVING AGENCY NAME: <br />CITY OF PARIS TEXAS DEPARTMENT OF HEALTH <br />By: By: __l~~~~ <br /> (signature of person authorized to sign contracts) (Signature of person authorized to sign contracts) <br /> <br /> Bob Burnette, Director <br /> Procurement and Contracting Services Division <br /> (Name and Title) (Name and Title) <br />Date: Date: ~'7/~;:~/~ --~ <br /> <br />RECOMMENDED: <br /> <br />By: <br /> (PERFORMING AGENCY Director, if different <br /> from person authorized to sign contract) <br /> <br /> TDH Document No: 7560006359 2003 <br /> <br /> Cover Page 3 <br /> <br /> <br />