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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. e uoya, uity �)ecre APPROVED AS TO CONTENT: 4-0- �.a-� Lee Osborn, Director of Parks & Recreation APPROVED AS TO FORM: Harold Willard, Assistant City Attorney HW:dw 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 - �u�r luwu