State of Maine Department of Health and Human Services Agreement to Purchase ServicesAgreement to Purchase Services • November 22nd, 2016 • Maine
Contract Type FiledNovember 22nd, 2016 JurisdictionTHIS AGREEMENT, made this _________ day of __________, ______, is by and between the State of Maine, Department of Health and Human Services, hereinafter called “Department,” and _____________________, located at _____________________________________ , hereinafter called “Provider”, for the period of Start Date_____________ to End Date ____________________.