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2021-595-E-OC Rape Crisis Center-Outside Agency
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2021-595-E-OC Rape Crisis Center-Outside Agency
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Last modified
10/22/2021 3:33:43 PM
Creation date
10/22/2021 3:33:23 PM
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Contract
Date
10/21/2021
Contract Starting Date
10/21/2021
Contract Ending Date
10/22/2021
Contract Document Type
Agreement
Amount
$62,000.00
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Cover Page P a g e 7 o f 31 <br /> <br /> <br /> <br />Signature: <br /> Executive Director Date <br /> <br /> <br />Signature: <br /> Board Chairperson Date <br /> <br />DocuSign Envelope ID: A1C5195D-6140-4BAA-8624-408DB5CDAEAA <br />1/13/2021 | 4:09 PM EST <br />1/13/2021 | 8:24 AM PST <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: BEA4B8BB-13B7-4322-9698-A424692E9FD4
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