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R2005-84 AUTHORIZING PARTICIPATION IN THE LEAD-BASED PAINT PROGRAM
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R2005-84 AUTHORIZING PARTICIPATION IN THE LEAD-BASED PAINT PROGRAM
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Last modified
12/21/2015 9:29:24 AM
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12/21/2015 9:29:23 AM
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Resolution/Ordinance
Res Ord Num
R2005-84
Res Ord Title
AUTHORIZING PARTICIPATION IN THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH/MACON COUNTY HEALTH DEPARTMENT - LEAD-BASED PAINT PROGRAM
Approved Date
6/20/2005
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5. Federal Taxpaver ldentification Number: Under penalties of perjury, the Grantee certifies that <br /> 37-6001308 is Grantee's correct Federal Taxpayer ldentification Number or Governmental Unit <br /> Code. Grantee is doing business as a(an): <br /> Partnership Real Estate Agent <br /> Corporation X Governmental Entity <br /> Not-for-Profit Corp Tax Exempt Organization <br /> Medical and Health Care (IRC 501[a] only) <br /> Services Provider Corp Trust or Estate <br /> 6. Attachments and Incorporations: The parties understand and agree that the attached Basic I <br /> Grant Terms are fully incorporated herein by reference and ar binding upon both parties hereto. <br /> For the Gran or e ep rtm nt: <br /> Gran ignat ecommended y � n <br /> • �''ll/. <br /> . <br /> , <br /> s <br /> Steve Garman <br /> Typed Name ric E. taker, M.D., M.P.H. <br /> Director <br /> City Manager <br /> �1��� <br /> Title Execution Date <br /> 7855100 <br /> IDHR Number(if applicable) <br /> Attest: <br /> _�- <br /> G�'�� <br /> City Clerk <br /> Page 7 of 7 <br />
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