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Page 12 of 12 <br />IN WITNESS WHEREOF, the Department and the State -have executed this <br />agreement in duplicate originals, one of which is retained by each of the parties: <br />LOCAL SIGNATURES <br />Zq <br />Health Director Date <br />Finance Officer �. D to <br />Chairman of County Date <br />Commissioners <br />DEPARTMENT OF ENVIRONMENT, HEALTH, <br />AND NATURAL RESOURCES <br />0 William W. Cobey, Jr., Secretary <br />Department Head's Signature <br />or Authorized Agent <br />13 <br />