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c w <br />AMENDMENT NUMBER 04 <br />to <br />CONSOLIDATED CONTRACT <br />between <br />THE STATE <br />and <br />THE Orange COUNTY /DISTRICT <br />HEALTH DEPARTMENT <br />- This Contract covering the period from <br />07 01 91 to 06 30 92 <br />(Month) (Day) (Year) (Month) (Day) (Year) <br />is hereby amended to add the following activities: <br />ACTIVITIES <br />MCH Block Grant Nutrition_ <br />Maternal Health <br />Food and Lodging <br />Child Health r� <br />All provisions and clauses set forth in the Contract are hereby <br />incorporated in this Amendment and constitute the terms and <br />conditions applicable for the above activities involving State <br />funding. <br />CONTRACTOR SIGNATURES <br />Health Director Date <br />of <br />finance Officer Date <br />Zo L,16" <br />ayy Z <br />aiyrrffan of County Date <br />Commissioners <br />NORTH CAROLINA DEPARTMENT OF <br />ENVIRONMENT, HEALTH, AND <br />NATURAL RESOURCES <br />William W. Cobey, Jr., Secretary <br />By <br />Department Head's Signature <br />or Authorized Agent <br />DEHNR 2946A (Revised 10/89) <br />General Services Division (Review 10/90) <br />