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DocuSign Envelope ID: C6F7BCA9-9E69-42C5-B5EE-FD39B8B2CEC5 <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder <br /> set their hands and seal, all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> DocuSigned by: DocuSigned by: <br /> f 7otA,uA,tt, tka" urstu <br /> B�/ B —. _ '� <br /> .7. ¢g.�yf3E¢�] y' Rf1R74f1F2DR574R(' <br /> Bonnie Hammersley, County Manager <br /> Perla saitz Program Director/co-owner; <br /> Printed Name and Title <br /> Federal Tax ID#: <br /> is <br /> Revised 06/16 <br /> 10 <br />