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<br />rCUTED 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 />RECEIVING AGENCY NAME: <br /> <br />CITY OF SAN MARCOS <br /> <br />DEPARTMENT OF STATE HEALTH <br />SERVICES <br /> <br />By: <br /> <br /> <br />By: <br /> <br /> <br />(Signature of person autho . ed to sign <br />contracts) <br /> <br />D(\j\ D'kory I t.ry ~~.er' <br />(Name and Title) <br /> <br />Eduardo J. Sanchez, M.D., M.P.H. <br />Commissioner <br />(Name and Title) <br /> <br />I <br /> <br />Date: <br /> <br />October 12, 2004 <br /> <br />Date: )cV ~ <br /> <br />RECOMMENDED: <br /> <br />By: <br /> <br />(PERFORMING AGENCY Director, if <br />different from person authorized to sign <br />contract) <br /> <br />DSHS Document No: 7460022381 2005 <br /> <br />I <br /> <br />Cover Page 3 <br />