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CITY CLERK
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366 <br />TEXAS DEPARTMENT OF HEALTH <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 -3199 <br />STATE OF TEXAS <br />COUNTY OF TRAVIS <br />TDH Document No. 7560022067 2003 <br />Contract Change Notice No. 02 <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 amens sucn contract attacnment(s) as touows: <br />SUMMARY OF TRANSACTION: <br />ATT NO. 05 : 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 />CITY OF PARIS <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 />(Signature of person authorized to sign) <br />Michael E. Malone, City Manager <br />(Name and Title) <br />Date: <br />By: <br />NG AGENCY Director, if different <br />person authorized to sign contract <br />RECEIVING AGENCY: <br />TEXAS TM (E;NT OF HEALTH <br />By: <br />`f,, J( OAiA-V a, bolffi_ <br />(Signature of person authorized to sign) <br />Melanie A. Doyle, Director <br />Grants Management Division <br />(Name and Title) '1 <br />Date: V t� <br />Cover Page 1 <br />EXHIBIT,. <br />VW GMD- Rcv. 12/00 <br />
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