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By their signatures below, the parties agree to the teirns and conditions of this Agreement and all <br />documents incorporated by reference. The parties signing below certify that they are authorized <br />to sign this Agreement. <br />IN WITNESS WHEREOF, the parties hereto have signed this Agreement. <br />COUNTY: CONTRACTOR: <br />Meghan DeBolt, MBA/MPH Date Authorized By Date <br />Director <br />Department of Community Health <br />314 W. Main <br />P.O. Box 1753 <br />Walla Walla, WA 99362 Print Name & Title of Person Signing <br />Phone: (509) 524-2650 Fax: (509) 524-2642 <br />Telephone Number / Email Address: <br />Mailing Address (Street address required in addition to PO Box.): <br />Social Security or Business Tax ID#: <br />CFDA# (ifapplicable): UB1#: <br />State Industrial Account ID # (irappliicable): <br />#19-33 Amend #1 GT&C Kittitas County Public Health Yr 3 YMPEP 2 of 2 <br />