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In WITNESS THEREOF , the parties hereto have caused this 24 page agreement to be <br /> executed by their undersigned officials as duly authorized effective the 1 �day of October , 2009 , <br /> BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA <br /> FOR INDIAN RIVER COUNTY INDIAN RIVER COUNTY <br /> DEPARTMENT OF HEALTH <br /> SIGNED B SIGNED BY : <br /> NAME : Wesley S . Davis NAME . Ana M . Viamonte Ros , M . D . , M . P . H . <br /> TITLE : Cha -; rman TITLE : State Surgeon General <br /> DATE : September 22 , 2009 DATE : <br /> ATTESTED TO : <br /> SIGNED BY . C SIGNED BY . <br /> NAME : Leona Allen NAME : Miranda C . Swanson , M . P . H . <br /> TITLE : Deputy Clerk TITLE : CHD Administrator <br /> DATE : Septemher 22 , 2009 DATE : ^h� <br /> Aifj, R <br /> C ty Adm ' istratar <br /> APPROVED AS YO FORM <br /> AND LEGAL . SUFFICIEN Y <br /> BY/ MARIAN E . FELL <br /> SSISIANT COUNTY ATTORNEY <br /> 9 <br />