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In WITNESS THEREOF , the parties hereto have caused this 44 page agreement to be <br /> executed by their undersigned officials as duly authorized effective the 1St day of October, 2003 . <br /> BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA <br /> FOR INDIAN RIVER COUNTY DEPARTMENT OF HEALTH <br /> SIGNED BY SIGNED BY : '3, — C -c – es <br /> NAME : Kenneth R . Macht NAME : ohn O . Ac <br /> wunobi M . D . M . B .A. <br /> TITLE : Chairman TITLE : Secretary <br /> DATE : September 16 , 2003 DATE . 9 . 2 q . 0 -k <br /> ATTESTED TO .. <br /> SIGNED BY : SIGNED BY . a� <br /> NAME : NAME . J an . Kline R. N . M . P . H . <br /> TITLE . TITLE : CHD Director/Administrator <br /> DATE : DATE : _ 9 S c> <br /> APPROVED . <br /> 7 c tif 6rrmrin0 � trqtofl <br /> APPROVED AS TO FORM <br /> AND GAL SUFFICI CY <br /> BY <br /> MARIAN E . FELL <br /> ASSISTANT COUNTY ATTORNEY <br /> 9 <br />