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By their signatures below, the parties agree to the terms 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:: <br />�xla.. ��,a tI I41�20 <br />Q z+1`LSDate <br />Div,�oregor� A-70rnp� RC 1 <br />314 W. Main <br />R3r <br />P.O. Box 1753 <br />Walla Walla, WA 99362 <br />Phone: (509) 524-2650 Fax: (509) 524-2642 <br />CONTRACTOR: <br />rgAuthorized Date <br />Telephone Number / Email Address. <br />Mailing Address (Street address required in addition to PO Box.): <br />-t�� i61�i f&6 � <br />Print Name &'Gide of Person Signing <br />6D�N t�1�nu�h roti <br />Social Security or Business Tax ID# <br />CFDA# (if applicable): UBI#:161 rW <br />State Industrial Account ID # (if applicable): O V <br />#19-33 Amend #1 GT&C Kittitas County Public Health Yr 3 YMPEP 2 of 2 <br />