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<br />-~ <br /> <br />FP 103 <br />Revised 5/1100 <br />Page 2 <br /> <br />~ _ AMENDED CONTRACT OF <br />~ F'iJ Rre. DEPARTMENT <br />IN ~ fnt1.+e. . TEXAS <br />WITH THE <br />TEXAS STATEWIDE EMERGENCY SERVICES PERSONNEL RmREMENT FUND <br /> <br />5. <br /> <br />Slgnatvre - Member, Emergency Servlc.. Dept. (Hame printed Of typed) <br /> <br />6. <br /> <br />7. <br /> <br /> <br />. at of Political Subdivision <br /> <br />(Name printed or typed) <br /> <br />;:JJ#Ojhu ~. ~P.;>L~<; <br />(Nam. printed or typed) <br /> <br />8. <br /> <br />'. <br /> <br />Signature. RMident of Political SubdiVIsion <br /> <br />(Name printed or typed) <br /> <br />Respectfully submitted <br />(M ~ ave at least one ligna <br /> <br />Approved By: <br /> <br />t1'\,,~~_' P. ~ <br /> <br />CommJsaIoner ' <br /> <br /> <br />County Judge (If applicable) <br /> <br />Date <br /> <br />CZ.30-00 <br /> <br />Oistriot President (if appfable) <br /> <br />(Seal of Governing Body) <br /> <br />** TOTFl.. PFlGE. 02 ** <br />