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DocuSign Envelope ID: D9D2ADC3ADFF4EC0A8072067B480D3E0Original Contract Number Maximum Contract Value Contractor Contact Person DSS Contact Contract Program18DSS1303IM $90,720.00 Victor Lopez, Jr.
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Effective June 1 form is a document used to report changes or updates that will be implemented starting June 1.
All individuals or entities affected by the changes starting June 1 are required to file the form.
The form can be filled out online or manually with all the required information regarding the changes.
The purpose of the form is to ensure all affected parties are aware of the changes and are ready for implementation on June 1.
The form requires details of the changes, implementation procedures, and any additional information necessary for compliance.
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