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2018-636-E Health - Advanced Dental service agreement 17-18
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2018-636-E Health - Advanced Dental service agreement 17-18
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Last modified
10/3/2018 9:48:58 AM
Creation date
10/2/2018 4:00:30 PM
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Template:
Contract
Date
12/28/2017
Contract Starting Date
1/1/2018
Contract Ending Date
2/28/2018
Contract Document Type
Contract
Amount
$700.00
Document Relationships
R 2018-636 Health - Advanced Dental service agreement 17-18
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: FE073E3E-A914-41CA-9713-D88EF600F829 <br /> IN WITNESS WHEREOF, Orange County and the Provider have signed this Agreement, effective <br /> as of the day first written above. <br /> ♦1►TJ"lr !",r%YT1LTTt7 <br /> OR Doeusigned ay: PR(_- oacusigned ay: <br /> w1"a s <br /> Sitwolkf [Ativ"� ex By. 5F... By' 0275802B878D488... <br /> Department Director Title: owner/staffing consultant <br /> 200 S. Cameron St. Advanced Dental Associates, Inc. <br /> P.O. Box 8181 11312 US 15-501 North, Suite 107-139 <br /> Hillsborough,NC 27278 Chapel Hill,NC 27517 <br /> Revised 10/17 4 <br />
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