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X22 ~ - - <br />,~ ..,.,_. ..~...~ .._.,_~_.._...~~....v_..~.~_._~ - - `."~.". 11'urcha: a Program <br />I.D. t~ur~ber <br />. State of tdorth Carolina ' <br />Department of Hunan Resources <br />Division of Sccial Services <br />COUPtTX BOARD APP801(AL <br />This is to certify that on A - 1 2 , 19 75~ , . _ , the <br />... [?ramie ____ _ County Board of Social Services, in official session,. <br />approved the Purch.;,se oY Services Agreement Da Care Health Su crvision <br />name of service program <br />with District Health De artment <br />(pravidcr <br />~ Aate ~ ~~a.,c. or Secretary <br />CL...'2TIF'ICATIpY OF N0:(-DIIPLICATIO:; <br />This is to certify that the above-referenced program dace not duplicate <br />existing service(s) and will be part of an integrated local human service <br />delivery system. <br />~~ <br />~~ lC ~~ ~ ter ~~. --L._.._ ~~ ~ ` . <br />_._ ~t~~ - ._ . __, , . <br />County 1}irector of~$ocial Services <br />- Cha3xrran of the County Commissioners or <br />Their Designee, ar Agency Executive <br />Secuxirg the Contract <br />Date Rate - <br /> <br />AsS.-167.8 (9-75) <br />Contract Services <br /> <br />