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AMENDMENT NUMBER <br /> <br /> to <br /> <br /> CONsoLIDATED CONTRACT <br /> I between <br /> <br /> : I THE STATE <br /> and <br /> <br /> I T~: COUNTY/DISTRICT <br /> HEALTH DEPARTMENT <br /> <br /> i This Contract covering the period from <br /> to <br /> I (Month) (Day) (Year) (Month) (Day) (Year) <br /> <br /> is hereby amended to add the following activities: <br /> <br /> ACTIVITI ES <br /> <br /> i All provisions and clauses set forth in the Contract are hereby <br /> incorporated in this Amendment and constitute the terms and <br /> conditions applicable for the above activities involving State <br /> funding. <br />_! <br /> i CONTRACTOR SIGNAT%rRES NORTH CAROLINA DEPARTMENT OF <br /> ENVIRONMENT, HEALTH, AND <br /> NATURAL RESOURCES <br /> <br /> Health Dire'ct6r O Date* <br /> <br /> Date Department Head's Signature <br /> I or Authorized Agent <br /> <br /> Chairman of County Date <br /> I Commissioners <br /> ~ General services Division (Review 10/90) <br /> <br /> <br />