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1 similar Indian Nation Program Agreement contracts

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Indian Nation Program Agreement • March 28th, 2018

INDIAN NATION PROGRAM AGREEMENTTreasury Offset - Tribal IV-D Program DSHS Agreement Number This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Indian Nation identified below, and is issued in conjunction with a DSHS and Indian Nation Agreement on General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Indian Nation Agreement Number DSHS ADMINISTRATION Economic Services Administration DSHS DIVISION Division of Child Support DSHS INDEX NUMBER CCS CONTRACT CODE 3000NC-62 DSHS CONTACT NAME AND TITLE Tribal Relations TeamProgram Administrator DSHS CONTACT ADDRESS 712 Pear St SE PO Box 9162Olympia, WA 98507-9162 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL INDIAN NATION NAME Tribe Name INDIAN NATION ADDRESS INDIAN NATION FEDERAL EMPLOYER IDENTIFICATION NUMBER INDIAN NATION CONTACT NAME INDIAN NATION CONTACT TELEPHONE INDIAN NATION CONTACT FAX INDIAN NATI

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