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0 <br /> A •teaQ f <br /> NEILABERCROMBIE j ill ` <br /> GOVERNOR OF HAWAII l°'0,1'1,f! LOREITE I DIRECTOR A,C,S,W„M,P,H, <br /> t. r;)' (fps INTERIM DIRECTOR OF HEALTH <br /> STATE OF HAWAII <br /> DEPARTMENT OF HEALTH <br /> ALCOHOL AND DRUG ABUSE DIVISION <br /> KAKUHIHEWA BUILDING In reply,please refer lo: <br /> 601 Kamokila Boulevard,Room 360 Flle: DOWADAD <br /> Kapolel,Newell 96707 <br /> PH: (808)692.7506 <br /> FAX: (808)692.7521 <br /> January 31, 2012 <br /> The Honorable William P. Kenai <br /> Mayor, County of Hawaii <br /> 25 Aupuni Street <br /> Hilo, Hawaii 96720 <br /> Dear Provider: <br /> Subject: ADM. SERV. OFFICE LOG NO. 10-189 <br /> Modification Order No. 3 <br /> Enclosed is the Contract Modification Form to be signed by an authorized official of <br /> your organization under Item B. <br /> Please return the signed agreement within three (3) working days to the Alcohol and <br /> Drug Abuse Division (ADAD) at the above address is appreciated, A copy of the <br /> agreement will be sent to you by the State Department of Health, Administrative <br /> Services Office after it has been fully executed. <br /> Should you have any questions on the execution of the modification form, please <br /> contact your assigned ADAD Program Specialist. <br /> Sincerely, <br /> rAA-1 <br /> Terri Nakano <br /> Acting Chief, Alcohol and Drug Abuse Division <br /> cc: ASO <br />