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AGENT OF RECORD LETTER
Date//Mrs. Janice Blackburn
Telehealth
P. O. Box 30192
Salt Lake City, UT 841300192
Dear Mrs. Blackburn:
hereby designatesClient Name/
Monthlies Agent of Record, effectiveAgent
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Hereby designates refers to a specific action or decision made in a document or agreement.
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Hereby designates should be filled out by indicating the specific action or decision being designated.
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The purpose of hereby designates is to clearly designate or assign a specific action or decision within a document or agreement.
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