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2018-289-E Health - Kevin Kirk DSME services
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2018-289-E Health - Kevin Kirk DSME services
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Last modified
8/1/2018 5:25:15 PM
Creation date
7/16/2018 10:23:25 AM
Metadata
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Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Contract
Amount
$600.00
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R 2018-289 Health - Kevin Kirk DSME services
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Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: 3659A1 CF-2506-4644-9391-6538AE1 E27FE <br />State Farm NORTH CAROLINA <br />INSURANCE CARD <br />INSURED KIRK, KEVIN J S MARIAN F MUTL <br />VOL <br />POLICY NUMBER 312 9577 -815 -330 EFFECTIVE <br />YR 2013 MAKE SUBARU FEB 15 2018 TO AUG 15 2018 <br />MODEL OUTBACK VIN 484BRCCCO03269766 <br />AGENT JEFFSTEPHIENSON 6495 -C17 <br />PHONE {919 }572 -1702 NAIL 25178 CAR NO. 001 <br />A BODILY @NJURY(PROPE:RTY DAMAGE LIABILITY <br />C MEDICAL PAYMENTS <br />D 100 DED DAMAGE TO YOUR AUTO <br />G 250 DEDUCT COLLISION <br />R1, U1 <br />SEE REVERSE 5113E FOR AODI TI ANAL C OVE RAGE I NFORMATION <br />
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