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2009-060 Health - State of NC Health Dept
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2009-060 Health - State of NC Health Dept
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Entry Properties
Last modified
7/20/2009 1:28:31 PM
Creation date
7/20/2009 1:28:29 PM
Metadata
Fields
Template:
BOCC
Date
3/17/2009
Meeting Type
Regular Meeting
Document Type
Contract
Agenda Item
4f
Document Relationships
Agenda - 03-17-2009 - 4f
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Path:
\Board of County Commissioners\BOCC Agendas\2000's\2009\Agenda - 03-17-2009
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II. The site(s) for the performance of work done in connection with the specific agreement are <br />listed below: <br /> <br />Fh`~lsbo~,c~, NC 2TZ7~ <br />~A[ (City, coun~y/ty/~~, state, zip code) ~ _- <br />(Street address) _ .- ~ . <br />~h~~t ill ~ G ~~s°~b <br />(city, county, state, zip code) , <br />Contractor will inform the Department of any additional sites for performance of work under this <br />agreement. <br />False certification or violation of the certification shall be grounds for suspension of payment, <br />suspension or termination of grants, or government-wide Federal suspension or debarment <br />(Section 4 CFR Part 85, Sa;tion 85.61 S and 86.620). <br />Authorized ncy Official Signature <br />C~~.~t ~-f~~-C~f ~, '~Dl~rec~' <br />Tide <br />~Q Ca a .~, _ :~ <br />Official geacy Nam Date _ ..:~.,~~._,_~. _3.... <br />(Signature should be same as Contract sigiiature) <br />Drug Free 5/00 <br />Page 2 of 2 <br />
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