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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 /> t Executive Director <br /> PROVIDER <br /> COUNTY OF HAWAII <br /> By <br /> Its-A4ager, County of Hawaii ~°i <br /> Mmo9tie areefa. <br /> RECOMMEND APPROVAL: <br /> ~ JUN 15 2004 <br /> Hawaii County Office of Bing <br /> County Executive <br /> APPROVED AS TO FORM AND LEGALITY: <br /> Deputy orporation Counsel <br /> County of Hawaii <br /> APPROVED AS TO FORM: <br /> eputy ttorney 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 /> <br /> HA-2005-I(N) Form AG3-bxempt <br /> <br />