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Behveen the University ofNorth Carolina at Chapel Flill <br />School of Dentistry for its <br />Department of Pediatric Dentistry and OCHD <br />Page 3 of 3 <br />In WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official <br />capacities on the day and year listed below <br />FOR AND ON BEHALF OF THE FOR AND ON BEHALF OF THE <br />ORANGE COUNTY HEALTH DEPARTMENT UNIVERSITY OF NORTH CAROLINA <br />DENTAL SERVICE AT CHAPEL HILL <br />Rosemary Summers, Health Director <br />Date: <br />This instrument has been pre-audited in the <br />manner required by the Local Government <br />Budget and Fiscal Control Act. <br />Kenneth Chavious, Director <br />Orange County Finance <br />Date: <br />Michael W Roberts, Chair <br />Department of Pediatric Dentistry <br />Date: <br />John W Stamm, Dean <br />UNC School of Dentistry <br />Date: <br />Barry Jacobs, Chair <br />Orange County Board of Commissioners <br />Date: <br />Nancy D Suttenfield, Vice Chancellor <br />Finance Administration <br />Date: <br />