Consultant Agreement Template Page 3
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5Revised June 2009
IN WITNESS WHEREOF, the parties undersigned have executed the Consultant Agreement
effective as of date and year first written above.
Contractor
Consultant
BY:
BY:
Signature of Authorized Agent
Signature of Consultant
Name (Print)
Name (Print)
Title (Print)
Social Security Number
Date
Date
Approved:
Department of Youth and
Community Development
BY:_________________________
____________________________
(print name)
Assistant Commissioner (or designee)
______________________________Unit
Date
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