HomeMy WebLinkAboutResolution - 3899 - Application - TDOHS - 1992 Summer Foood Service Program - 05/28/1992Resolution No. 3899
May 28, 1992
Item 413
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock a Summer Food
Service Program Application and related documents with the Texas Department
of Human Services, attached hereto, which shall be spread upon the minutes
of the Council and as spread upon the minutes of this Council shall
constitute and be a part of this Resolu 'on as if fully copied herein in
detail.
Passed by the City Council this 2Ath day_af/j ' May 1992.
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APPROVED AS TO CONTENT:
4-0- �.a-�
Lee Osborn, Director of Parks &
Recreation
APPROVED AS TO FORM:
Harold Willard, Assistant City
Attorney
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agenda-D#2/FoodServ.Res
Texas Department
of Human Services
Resolution No. jo77
May 28, 1992
Item #13 Form 1
Julv 7990990
FOR DEPARTMENT OF HUMAN SERVICES USE ONLY:
Agreement No. Received By Date
TX-
CERTIFICATE OF AUTHORITY
This is to certify that
Name of Authorized Official (please type or print)
Title
Susan Bailey
Indoor Recreation Outreach
Signature—Authorized Official
is designated as the authorized representative of
Name of Contracting Organization
City of Lubbock
Address (Street, City, State, ZIP) 4
P.O. Box 2000 Lubbock, TExas 79457
The representativ designat a ove is authorized on behalf of the contracting organization to make written agree-
ments with the Te as Departme of Hu operate a food program, to sign documents or reports about
the agreement, an to oralms for rei sement, when appropriate, -to the department.
' May 28, 1992
Signature--&icia f Contracting Ag n Date
Name of Official (please type or print)
Title
David R. Langston
iMayor
FOR DEPARTMENT OF HUMAN SERVICES USE ONLY:
Agreement No. Received By Date
TX-
Texas Department
Resolution No. 3899
May 28, 1992 f=orm 4508
or numan Jervices Item #13 July 'v"
CERTIFICATE OF AUTHORITY
This is to certify that
Name of Authorized Official (please type or print) Title
Todd: Steelman I Recreation Supervisor
Signature—Authorized Official
is designated as the authorized representative of
Name of Contracting Organization
City of Lubbock
Address (Street, City, State, ZIP)
P.O. Box 2000 Lubbock, Texas 79457
The representative es ggna above is authorized on behalf of the contracting organization to make written agree-
ments with the Te s Depart t of Hu n to operate a food program, to sign documents or reports about
the agreement, an to pres nt laims r reimb ement, w en appropriate, to the department.
May 28, 1992
Signature—O ial of Contra ti Agency Date
Name of Official (please type or print) Title
David R. Langston IMayor
FOR DEPARTMENT OF HUMAN SERVICES USE ONLY:
Agreement No. Received By Date
TX-
yTexas Department
of Human Services
t
Resolution No. 3899
May 28, 1992 Form 4508
CERTIFICATE OF AUTHORITY
This is to certify that
Name of Authorized Official (please type or print) Title
Lee :Osborn Director, Parks and Recreation
Signature—Authorized Official
is designated as the authorized representative of
Name of Contracting Organization
City of Lubbock
Address (Street, City, State, ZIP)
P.O. Box 2000 Lubbock; Texas 79457
The representativeg above is authorized on behalf of the contracting organization to make written agree-
ments with the Tex s Departm t uFamservtt s to operate a food program, to sign documents or reports about
the agreement, an to present aims r reimb rsemen en a opriate, to the department.
May 28, 1992
Signature--officiaNf Contractin Ag ncy Date
Name of Official (please type or print) Title
David R. Langston iMayor
FOR DEPARTMENT OF HUMAN SERVICES USE ONLY:
Agreement No. Received By [Date
TX -
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