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Lynn Shatz 12/3/2019
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Lynn Shatz 12/3/2019
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Entry Properties
Last modified
12/10/2019 11:31:07 AM
Creation date
12/10/2019 11:29:44 AM
Metadata
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Template:
Contracts
Contractor's Name
Lynn Shatz
Approval Date
12/3/2019
End Date
12/31/2020
Department
Senior Center
Department Project Manager
Bob Dvorak
Subject / Project Title
Dental Hygiene Services
Tracking Number
0002100
Total Compensation
$4,500.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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Washington State Department of Health <br /> By the authority of RCW 18.29 this person <br /> Lynn D Bresheare Shatz <br /> is granted a <br /> Dental Hygiene License <br /> School Sealant and Fluoride Varnish Approved Date 04/19/2001 <br /> // 11 -- Status Credential Number <br /> ACTIVE DH 00000888 <br /> Effective Date Initial Issuance Expiration Date <br /> Secretary 12/12/2018 06/28/1971 02/17/2020 <br /> -- N <br /> - 'J <br /> M-IME N <br /> N <br /> mime '0 <br /> — <br /> ▪ V <br /> — a <br /> IMMIO LYNN DEE SHATZ <br /> MOM <br /> LYNN'S DENTAL HYGIENE SERVICES <br /> 10708 206141 ST SE <br /> NM▪ =— SNOHOMISH WA 98296-4924 002947 <br /> DETACH BEFORE POSTING <br /> -7n7� -7-,M 7-x—1, ri 2 W, F LL `^ti'" "fi""r„ , " „ 'y ^tea'" 1 <br /> yI: <br /> ilii + a. <br /> BUSINESS LICENSE <br /> 1889 a0 <br /> f'�`C <br /> �, STATE OF <br /> '1 i WASHINGTON <br /> �.' Unified Business ID U: 603 193 412 <br /> ;_: Sole Proprietorship Business ID U: ]. <br /> ql <br /> Location: 1 <br /> r ,. <br /> LYNN DFE SHATZ <br /> LYNN'S DENTAL HYGIENE SERVICES <br /> , 10708 206TH ST SE <br /> SNOHOMISH WA 98296 4924 <br /> w TAX REGISTRATION <br /> kc ' <br /> rI, i <br /> 111, <br /> N{\i <br /> i`1 I <br /> 1'?i'; <br />
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