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Contract #68-2004 <br />Personalized Patient Home Assistance, Inc. <br />Department of Social Services shall be submitted to the Administrator for said <br />Department All invoices for the provision of services to the Department on A~inQ shall <br />be submitted to the Administrator for said Department. The County will reimburse the <br />Contractor monthly upon receipt of a complete and correctlyfiled report. <br />F. Area to be served/Delivery site(s): Orange County <br />(Signatur of Department Director) <br />~~~/off <br />(Date Submitted) <br />~~ <br />~J <br />• <br />~~ <br />(Signature of Contractor) <br />(Date Submitted) ' <br />Contract-Scope of Work (06/04) Page 2of 2 <br />