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IN WITNESS WHEREOF, the STATE and the PROVIDER have executed this <br /> Agreement effective as of the date first above written. <br /> STATE <br /> EXECUTIVE OFFICE ON AGING <br /> By <br /> Executive Director <br /> PROVIDER <br /> COUNTY OF HAWAII <br /> I;y ~ <br /> Its ayor, County of Hawaii <br /> RECOnnMM//''END APPROVAL: <br /> Hawaii County Officeffice of~g <br /> County Executive <br /> APP~ROVED`AS TO FORM AND LEGALITY: <br /> V v"-""~ <br /> Corporation Counsel <br /> County of Hawaii <br /> AP~P,,R,O, VrED AS TO FORM: <br /> "vGiN?~lfi~, <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 /> Page 5 <br /> <br /> HA-2004-2005-2(A) <br /> <br />