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<br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized Contracting Entity (type above if different <br />from PERFORMING AGENCY) for and in behalf of: <br /> <br />PERFORMING AGENCY NAME: <br /> <br />CITY OF SAN MARCOS <br /> <br />By: <br /> <br /> <br />(Signature of per n authorized to sign <br />contracts) <br /> <br />Dan O'Leary <br /> <br />City Manager <br /> <br />(Print Name and Title) <br /> <br />vate: <br /> <br />10-19-05 <br /> <br />RECOMMENDED: <br /> <br /> <br />By: ~G ~rector. if <br />different from person authorized to sign <br />contract) <br /> <br />RECEIVING AGENCY NAME: <br /> <br />DEPARTMENT OF STATE HEALTH <br />SERVICES <br /> <br />~ <br /> <br />By: <br /> <br /> <br />to sign <br /> <br />Eve.\'f""- ~~ J ~(b\M.W"\ I 'F~C\..\5 <br />(print Name and Title) <br /> <br />Date: <br /> <br />/1-r7-05 <br /> <br />DSHS Document No: 7460022381 2006 <br /> <br />Cover Page 3 <br />