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IN WITNESS WHEREOF, the STATE and the PROVIDER have executed this <br /> <br /> Agreement effective as of the date first above written. <br /> STATE <br /> EXECUTIVE OFFICE ON AGING <br /> B r~~' <br /> Y <br /> t Executive Director <br /> PROVIDER <br /> COU Y OF HAWAII <br /> liy - <br /> Its A4a~+er, County of Hawaii <br /> Maro9~0 gnefar <br /> RECOM AMEND AP,~P-R-O~VA~L: <br /> Hawaii County OftiJUIV igs L~~3 <br /> County Executive <br /> APPROVED AS TO FORM AND LEGALITY: <br /> Depu Corporation Counsel <br /> County of Hawaii <br /> APPR~~OAAV__E,,D AS TO FORM: <br /> Ur~~ <br /> Deputy Attorney General <br /> State of Hawaii <br /> * Evidence of authority of the PROVIDER'S representative to sign this agreement for the <br /> PROVIDER must be attached. <br /> EXEMPT TRANSACTIONS <br /> Page 5 <br /> HA-2004-1(N) Form AG3-Exempt <br /> <br />