Laserfiche WebLink
STATE OF TEXAS <br />COUNTY OF TRAVIS <br />D� �X <br />TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 -3199 <br />TDH Document No.75 12067 2001 <br />CONTRACT CHANGE NOTICE NO. 03 <br />The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing with <br />PARIS -LAMAR COUNTY HEALTH D PARTMFNT hereinafter referred to as PERFORMING AGFNrY 'rhr .,nrr;— <br />uwuc w aiiicuu such contract atcacnment(s) as follows: <br />SUMMARY OF TRANSACTION: <br />ATT. NO. 03A: BNS - WIC CARD PARTICIPATION <br />All terms and conditions not hereby amended remain in full force and effect. <br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br />Authorized Contracting Entity (type above if different <br />from PERFORMING AGENCY) for and in behalf of: <br />PERFORMING AGENCY: <br />PARIS -LAMAR COUNTY HEALTH DEPARTMENT <br />By: <br />II" . (Signature of person authorized to sign contracts) <br />MICHAEL E. MALONE, CITY MANAGER <br />(Name and Title) <br />Date: <br />h <br />RECOMMENDED: <br />By: <br />(PERF RM G AGENCY Director, if different <br />rom person authorized to sign contract) <br />RECEIVING AGENCY: <br />TEXAS DEPARTMENT OF HEALTH <br />By: <br />(Signature person authorized to sign contracts) <br />Sidney P. Shelton, Chief <br />Bureau of Financial Services <br />(Name and Title) <br />Date: <br />Cover Page 1 <br />_ ..� IT <br />CN GMD - Rev. 3/99 <br />