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r� <br />DEPARTMENT OF STATE HEALTH SERVICES <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 -3199 <br />STATE OF TEXAS DSHS Document No. 7560022067 2005 <br />COUNTY OF TRAVIS Contract Change Notice No. 06 <br />The Department of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter%ntb a contract in <br />writing with PARIS -LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The <br />ties thereto now desire to amend such contract attacnmentts) as iolrows: <br />SUMMARY OF TRANSACTION: <br />ATT NO. OIC : IMMUNIZATION BRANCH - LOCALS <br />All terms and conditions not hereby amended remain in full force and effect. <br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br />CITY OF PARIS <br />Authorized Contracting Entity (type above if different <br />from PERFORMING AGENCY) for and in behalf of: <br />PERFORMING AGENCY: RECEIVING AGENCY: <br />PARIS -LAMAR COUNTY HEALTH DEPARTMENT DEPARTMENT OF STATE HEALTH SERVICES <br />B v: <br />(Signature of person authorized to sign) <br />Tony N. Williams, City Manager <br />(Name and Title) <br />Date: January 10, 2005 <br />RECO TING NCY Director, if different <br />f m on authorized to sign contract <br />By: <br />(Signature of person authorized to sign) <br />Bob Burnette, Director <br />Procurement and Contracting Services Division <br />(Name and Title) <br />Date: <br />EXHIBIT A <br />Cover Page 1 <br />JC PCSD - Rev. 6/04 <br />