NEW JERSEY PROVIDER AGREEMENTProvider Agreement • September 22nd, 2015 • New Jersey
Contract Type FiledSeptember 22nd, 2015 JurisdictionThis Agreement is made by and between Xerox State & Local Solutions, Inc. a New York Corporation, (hereinafter “XEROX”) and , a corporation, individual(s), partnership, Limited Liability Company (LLC), other ; organized and existing under the Laws of the state of , and having a business, residence at (hereinafter “Provider”).