General Release And Waiver Page 6
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7PLEASE READ THIS AGREEMENT CAREFULLY AND CONSULT AN ATTORNEY. THIS AGREEMENT
CONTAINS A RELEASE OF KNOWN AND UNKNOWN CLAIMS AS DESCRIBED IN PARAGRAPH 3,
ABOVE, SUBJECT TO THE LIMITATIONS EXPRESSLY SET FORTH IN PARAGRAPH 4.
AGREED TO:
Employee Name:____________________________________________ S Number:________
(Print Last Name, First Name, MI)
Employee Signature:__________________________________________ Date:____________
Company Representative Name:__________________________________________________
(Print Last Name, First Name, MI)
Company Representative Signature:______________________________ Date:__________
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