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<br />DEPARTMENT OF STATE HEALTH SERVICES <br /> <br /> <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756-3199 <br /> <br />STATE OF TEXAS <br />COUNTY OF TRAVIS <br /> <br />Contract No. 2007-020882 <br />Contract Change Notice No OOIA <br /> <br />The TEXAS DEPARTMENT OF STATE HEALTH SERVICES, hereinafter referred to as DSHS, did heretofore enter into a contract <br />in writing with CITY OF SAN MARCOS hereinafter referred to as Contractor. The parties thereto now desire to amend such <br />contract attachment(s) as follows: <br /> <br />SUMMARY OF TRANSACTION: ATT NO. 001A: NSS - WIC CARD PARTICIPATION <br /> <br />All terms and conditions not hereb amended remain in full force and effect. <br /> <br />EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. <br /> <br />Authorized Contracting Entity for and in behalf of: <br /> <br />DEPA~F STATE HEAL TH~VICES <br /> <br /> <br />Official <br /> <br />CITY OF SAN MARCOS <br /> <br /> <br />r'7 <br />...- ?, <br />/' <br /> <br />By J. jv <br /> <br />Signature <br />i , <br />).;;. / II i 0 L1 <br />Date f I <br /> <br />Date <br /> <br />Evelyn Delgado <br /> <br />n~n n'~eary, City Mana~er <br />Printed Name and Title <br /> <br />Assistant Commissioner for Family and Community <br />Health Services <br /> <br />630 E. Hopkins street <br />Add ress <br /> <br />1100 WEST 49TH STREET <br />AUSTIN, TEXAS 78756 <br /> <br />San Marcos, TX 78666 <br />City, State, Zip <br /> <br />512.458.7321 <br /> <br />~1?/~q1 A1nn <br />Telephone Number <br /> <br />Evelyn. Delgado@dshs.state.tx.us <br /> <br />o'leary dan@ci.san-marcos.tx.us <br />E-mail Address for Official Corres ondence <br /> <br />CSCU - Rev 6/06 <br /> <br />Cover Page 1 <br />