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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 />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 Orange County Government <br />Bernadette Pelissier, Chair <br />Orange County Board of Commissioners <br />Date <br />For and on behalf of the Chapel Hill Carrboro City Schools <br />Thomas A. Forcella Superintendent Date <br />Chapel Hill Carrboro City Schools <br />For and on behalf of Orange County Health Department <br />Approved as to technical content <br />Colleen Bridger, Health Director Date <br />Approved as to form and legal sufficiency <br />Annette M. Moore, Staff Attorney Date <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 />C: \Documents and Settings\pmccall \Local Settings \Temporary Internet Files \OLK2F\2012 -13 Contract for CHCCS Nursing Services <br />(2).doc <br />0 <br />