Laserfiche WebLink
<br /> .85 <br /> TEXAS DEPARTMENT OF HEALTH CONTRACT <br /> 1100 West 49th street <br /> Austin, Texas 78756-3199 <br /> STATE OF TEXAS r¡ tJ./P OD.;)..;i 5 81 q /p <br /> COUNTY OF TRAVIS TDH Document No. C60OO626 <br /> This contract is between the Texas De~artment of Health, hereinafter referred to <br /> as RECEIVING AGENCY, and the par y listed below as PERFORMING AGENCY and <br /> includes general provisions and attachments detailing scope(s) of work and <br /> __~pecial provisions. <br /> I 1 <br /> PERFORMING AGENCY: CITY OF SAN MARCOS I <br /> : I <br /> ,=====================================================================================: <br /> : (PRINT or TYPE) : <br /> : Mailing Address: 630 East Hopkins San Marcos TX 78666 6397/ <br /> I (Clty) (St") (¿ 1 P) I <br /> : Street Address: . SAME I <br /> (If dltterent) lClty) (St") lL1P) I <br /> I I <br /> 1______-------------------------------------------------------------------------______1 <br /> ,-------------------------------------------------------------------------------------1 <br /> I Authorized I <br /> I Contracting Entity: I <br /> I lIt dltterent trom PtHrUHMING AGeNCY) I <br /> ,______-------------------------------------------------------------------------______1 <br /> 1-------------------------------------------------------------------------------------1 <br /> : Payee Name: CITY OF SAN MARCOS . ¡ <br /> lMust match wlth vendor ldentltlcatlon number shown below) I <br /> I I <br /> : Payee Address: 630 East Hopkins San Marcos TX 78666 63971 <br /> I (Must match with vendor ldentlflcat19n number shown bëlow) ¡ <br /> : State of Texas Vendor Identification No. (14 digits): 17460022381000 I <br /> I <br /> : Finance Officer/Contact: Wi 11 i am White I <br /> I <br /> I I <br /> J Type of Organization: Cit I <br /> r- Designate: Elementary/secon ary sc 00 , Junlor co ege, senlor co eåe unlverSl y I <br /> citf' county, other political subdivisiont council of iovernments, ju icial I <br /> , dis rict, community services program, indlvidual, or 0 her (define) I <br /> J I <br /> ¡ Is this a small business No (Yes/No) and/or minority/woman owned No (Ves/No) I <br /> I <br /> I Is this a non-profit business Yes (Yes/No) --- I <br /> : PAYEE AGENCY Fiscal Year Ending Month: SEPTEMBER I <br /> I <br /> 1______-------------------------------------------------------------------------______1 <br /> ,-------------------------------------------------------------------------------------, <br /> : SUMMARY OF TRANSACTION: I <br /> I <br /> I 1 <br /> : Contract for public health services. I <br /> I <br /> I I <br /> I I <br /> I f <br /> I I <br /> I I <br /> I I <br /> COVER - Page 1 <br />