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TO BE COMPLETED BY EMPLOYER MEMBER: <br />EMPLOYER MEMBER BENEFITS COORDINATOR <br />Name Linda Spacek <br />Title Interim Human Resources Director <br />Mailing Address 630 E. Hopkins <br />Street Address (if different from above) <br />City /State /Zip San Marcos, Texas 78666 <br />Phone 512- 393 -8060 <br />Fax 512- 393 -8074 <br />E -mail Ispacek @sanmarcostx.gov <br />Interlocal Agreement ASO (rev.06(05/09)— Page 4 <br />