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Homage Senior Services of Snoh County 12/19/2017
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Homage Senior Services of Snoh County 12/19/2017
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Last modified
12/26/2017 11:05:57 AM
Creation date
12/26/2017 11:05:50 AM
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Contracts
Contractor's Name
Homage Senior Services of Snoh County
Approval Date
12/19/2017
End Date
12/31/2018
Department
Senior Center
Department Project Manager
Bob Dvorak
Subject / Project Title
On Site Social Worker
Tracking Number
0001001
Total Compensation
$9,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation <br /> 4 OMs E- '?E.ttot2 oewtcES <br /> [Service Pr vider'5 omplete gal Name] <br /> By: - Liv GG .t-Y/ <br /> T}4Printed Name: 45 JE Mc G( 4. <br /> Its: Cep <br /> Date: <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> • <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated November 21,2016) <br />
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