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<br />lSL <br /> <br />AMENDMENT NO. I TO TDH DOCUMENT NO . C <br /> <br />8000639 <br /> <br />In accordance with III C., this constitutes an amendment to and becomes a part <br /> <br />of that certain agreement between the Texas Department of Health, WIC Program <br /> <br />and <br /> <br />CITY OF SAN MARCOS <br /> <br />(36) <br /> <br />covering the period of <br /> <br />October 1, 1987 through September 30, 1988. <br /> <br />II <br /> <br />B. <br /> <br />Administrative costs will be reimbursed based on actual costs, but <br />not to exceed the "maximum reimbursements" set out below, based upon <br />the sum of the participants who actually receive food vouchers each <br />month plus the number of breast fed infants of participant <br />breastfeeding women to the extent that the total so derived does not <br />exceed the Project's total assigned caseload within any given month. <br />Surpl us funds (the amount by which maximum reimbursements exceed <br />actual cost) can be accumulated and carried forward within the <br />agreement period. The time period during which such surpluses may <br />be recovered will be determined by the State. <br /> <br />Participants Served per Month <br /> <br />E frecti ve April 1, 1988 <br />Maximum Reimbursement <br /> <br />First 500 participants served <br />Next 1000 participants served <br />Next 3500 participants served <br />All additional participants served <br /> <br />$ 9.25 per participant <br />$ 7.60 per participant <br />$ 5.30 per participant <br />$ 3.15 per participant <br /> <br />Executed in duplicate originals on the dates indicated. <br /> <br />PROJECT <br /> <br />Kathy M. Morris <br />(Print) <br /> <br />TEXAS DEPARTMENT OF HEALTH <br />By: -Mtø~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />1M as . .il er <br />Deputy Commissioner <br />Management and Administration <br />JUL 2 5 1988 <br /> <br /> <br />Nane <br /> <br />Date <br /> <br />Official Title <br /> <br />Mayor <br />(Print) <br /> <br />Approved As To Form: <br /> <br />By : I !1Jb-, <br />Off1 e of General Counsel <br /> <br />Date <br /> <br />June 28, 1988 <br /> <br />Please Print or Type Nane and <br />Address of Project <br /> <br />Cr., IS f .Sq A-/ 4J4' /C o.s <br />Name <br /> <br />;2/ ( ~ø/?/n;J ~cP/1Í <br />Addres <br />561 ~ ;'14/ C O'ý~ 7 x. <br /> <br />R:;~ <br /> <br />~ Clift Price, M.D., F.A.A.P. <br />~ ~Associate. Commissioner <br />Personal Health Services <br /> <br />tuG. 7 <br />7&(.(., b <br />