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2021-378-Health-Pamela Hines-Clinical Supervision for Clinical Social Worker
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2021-378-Health-Pamela Hines-Clinical Supervision for Clinical Social Worker
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Last modified
7/21/2021 9:41:06 AM
Creation date
7/21/2021 9:40:48 AM
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Template:
Contract
Date
7/7/2021
Contract Starting Date
7/7/2021
Contract Ending Date
7/8/2021
Contract Document Type
Agreement
Amount
$6,240.00
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Revised 06/21 <br />7 <br />functions, by state or federal legislative or regulatory action, which adversely affects <br />County’s authority to continue its obligations under this Agreement, then this Agreement <br />shall automatically terminate without penalty to County upon written notice to Provider <br />of such limitation or change in County’s legal authority. <br /> <br />i. Signatures. This Agreement together with any amendments or modifications may be <br />executed electronically. All electronic signatures affixed hereto evidence the consent of <br />the Parties to utilize electronic signatures and the intent of the Parties to comply with <br />Article 11A and Article 40 of North Carolina General Statute Chapter 66. <br /> <br />j. Notices. Any notice required by this Agreement shall be in writing and delivered by <br />certified or registered mail, return receipt requested to the following: <br /> <br /> Orange County Provider’s Name <br /> Attention:Kimberlee Quatrone Pamela Hines, LCSW <br /> P.O. Box 8181 1564 Semora Road <br /> Hillsborough, NC 27278 Roxboro, NC 27574 <br /> <br /> <br />[SIGNATURE PAGE TO FOLLOW] <br />DocuSign Envelope ID: 7B35B062-B48C-4DC9-9505-A8B05270AB7D
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