Common Contracts
1 similar Purchase of Service Agreement contracts
ContractPurchase of Service Agreement • September 21st, 2012
State of MaineDEPARTMENT OF HEALTH AND HUMAN SERVICES11 State House Station, Augusta, ME 04333-0011 PURCHASE OF SERVICE AGREEMENT BILLING FORM Pay To: (Issue Check Payable to) (Municipality, State, Zip Code) Program/Project: Vendor Code: Vendor Invoice #: AGREEMENT #: Payment Period: From: To: Amount Agreement Payment: $ Adjustment: TOTAL $
