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<br />6.1C <br />Page 13 <br />I declare under penalty of perjury under the laws of the state of California that the <br />foregoing is true and correct, and that I am authorized to bind this entity <br />contractually. <br /> <br />Signature <br /> <br />Name <br /> <br />Date <br /> <br />Title <br /> <br />DOH Rev. 06{09 <br />Rev Fair Oaks Contract 073009 <br /> <br />13 <br />