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2022-059-E-Health-Club Nova Community-Outside Agency & MOE
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2022-059-E-Health-Club Nova Community-Outside Agency & MOE
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Last modified
2/11/2022 8:15:52 AM
Creation date
2/11/2022 8:15:21 AM
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Template:
Contract
Date
2/7/2022
Contract Starting Date
2/7/2022
Contract Ending Date
2/10/2022
Contract Document Type
Contract
Amount
$188,000.00
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Cover Page P a g e 10 o f 55 <br /> <br /> <br /> <br /> <br /> <br /> <br />Signature: 1/14/2021 <br /> Board Chairperson Date <br /> <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614
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