Signed by. <<title of officer responsible ) for administration of the contract>> ) for and on behalf of ) the Board of the Health Service Provider: )______________________________________ in the presence of: Witness' Signature )______________________________________ Witness' Full Name )______________________________________ Witness' Address )______________________________________ Witness' Occupation )______________________________________ Date )______________________________________ SCHEDULE 1: DETAILS
Appears in 7 contracts
Samples: Services Agreement, Medical Services Agreement, Medical Services Agreement
