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HomeMy WebLinkAboutC2005-519 - 10/11/2005 - ApprovedDEP~ OF STATE IIEALTH SERVIC~ 1 lll0 WE~T 49TH STRRI~F AUSTIN, TI~AS 78756-3199 STATE OF TEXAS (~.)UNWY OF TRAV=~ DSIIS Documcm No. 746tX105.41 20~! Comrnt~ Change ~m~': No. ~_, The I~-mmnt of Slnle Hnslth Service, ~ ~ I~ as RECEIVING AGENCY. ~ ~ c~ ~ u cusm uc~ in writing with CORPUS Cl-mm"rI-~ COUNTY PUBI-~. I-mAt.TH DI.Vl'RICT (CH'Y) h:~nm'~r referred to ~.~ St JM'MARY 0~ 'I'R~*~N: AFl' NO. 06: CI~S-BIOTERRORIS~ EXF~.'UTED IN DUPLICATE ORI(3IN~T-q ON TH~ DATBS SHOWN. C~ )RFUS CHR].qTI fC1TY RECEIVING AGENCY: CORP~IN CltlIS'TI~ COUNTY PUBLIC HF. ALTH Di~ (ell'Y) sign) (Nam~ ~d Title) (:PERPORMINO ~ D~r~xm~', if ~ fix~m ~ .m'hodgd ~n sign C~uh.Ct DI~A~ OP' STATE IIKALTH S~RVICES (Signatun: of person authoriz~ tt) sign) ~ Bmncl~c, Din.'cu,r Client Services Cormuc'd~W Uml_ _. (Nnme and Title) 2oos-s~9 Confidentinl Contract- ~O/~l/OS Contact Legal before releasing a copy