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141. TEXAS <br />Health and Human <br />TexelrtnentofSt-ate HMO Senrites <br />_ Services Jahn Killerste•dk MM. <br />The <br />(governing body) <br />of <br />(city or county) <br />designates of as the <br />person's name (print) (i.e. animal control, police, or sheriff's dept., etc) <br />Rabies Control Authority for the purpose of the RABIES CONTROL ACT OF 1981. <br />This appointment became effective: <br />Authorizing person'ti namc: <br />(state) <br />(print) <br />Authorizing person's Signature: <br />Circle One: Mayor (if municipality); County Judge (if county) <br />In reference to the person named as Rabies Control Authority, please indicate (print) their <br />mailing address and telephone numhcr. <br />The Rabies Control Authority for this coltylzrunity is: <br />1�ii1111C: <br />Mailing Address: <br />Telephone: <br />t'ax: <br />lit7tail Address: <br />P 0 Box 149347 Austin, Texas 71714 9347 Phone. 888 963 7111 . TTY. 800 735 2889 - www diM texas, pav <br />