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4 <br />Between The Orange County Health Department <br />And the University of North Carolina <br />School of Dentistry for its <br />Department of Dental Ecology <br />Page3of3 <br />IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in <br />their official capacities on the day and year listed below. <br />FOR AND ON BEHALF OF: FOR AND ON BEHALF OF: THE <br />THE ORANGE COUNTY UNIVERSITY OF NORTH CAROLINA <br />HEALTH DEPARTMENT AT CHAPEL HILL <br />Daniel B. Reimer <br />Health Director <br />Date <br />Wayne Jones <br />Vice Chancellor <br />Business and Finance <br />Date <br />ORANGE COUNTY FINANCE DIRECTOR <br />"This instrument has been pre-audited in the <br />manner required by the Local Government Budget <br />and Fiscal Control Act.° <br />Kenneth Chavious <br />Director, Orange County Finance <br />Date <br />Chairman, Orange County <br />Board of Commissioners <br />Date <br />Mail Check To: <br />Ms. Martha B. Barbour <br />University Manager <br />Department of Dental Ecology <br />UNC School of Dentistry CB7450 <br />Chapel Hill, NC 27599-7450 <br />