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DEPARTMENT OF STATE HEALTH SERVICES <br />By: r <br />Signature of uthized Official <br />x r Z401 <br />Date <br />Bob Burnette, C.P.M., CTPM <br />Director, Client Services Contracting Unit <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 <br />(512) 458 -7470 <br />Bob.Burnette @dshs.state.tx.us <br />CITY OF SAN MARCOS <br />By: <br />Si natur <br />b <br />to -Q —t3 <br />Date <br />Printed Name and Title <br />Address <br />SG-YA WYl --o5T <br />City, State, Zip <br />51 z . 393. 2)1bc) <br />Telephone Number <br />-mail Address for Official Corresponde <br />Page - 6 <br />