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School Nursing Services Agreement <br />Chapel Hill Carrboro City Schools <br />Orange County Health Department <br />Fiscal Year 2011-2012 <br />Page 5 of 5 <br />5 <br />Agreement may be amended only by written instrument signed by both parties. <br />Modifications may be evidenced by facsimile signatures. <br />IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their <br />official capacities of the day and year listed on the signature page affixed to this <br />Agreement. <br />For and on behalf of OraDnge County Government <br />Bernadette Pelissier, Chair Date <br />Orange County Board of Commissioners <br />For and on behalf of Orange County Health Department <br />Approved as to technical content <br />Dorothy Cilenti, I terim Health Director Date <br />A pr ve to form and legal sufficiency <br />2j tf <br />An ette M. oore, Staff Attorney Da <br />This instrument has been preaudited in the manner required by the Local <br />Government Budget and Fiscal Control Act <br />Clarence Grier, Director Date <br />Financial Services <br />Fora on be f f the Chapel Hill Carrboro City Schools <br />~/z~/~ <br />Neil Pedersen, Superintendent Date <br />Chapel Hill Carrboro City Schools <br />This instrument has been pre-audited in the manner required by the School <br />Budg d Fis 1 Control Act <br />C ~3o~f( <br />Ruby Pittm ,Finance Officer Date <br />Chapel Hill Carrboro City Schools <br />S:\Managers Working FileslContracts\SCHOOL CONTRACTS\CHCCS Contract FY 12\2011-12 Contract for CHCCS Nursing <br />Senrices.doc <br />