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DocuSign Envelope ID: E2470586DE264D7A9C8C6B59C62587B1HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 52916010200049 AMENDMENT NO. 4 The Health and Human Services Commission (“HHSC or “System

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Contract no 529-16-0102-00049 is a specific agreement between two parties to provide goods or services.

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To fill out contract no 529-16-0102-00049, parties should include relevant information such as names, dates, terms, and signatures.

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Information such as the names of the parties, the terms of the agreement, payment details, and signatures must be reported on contract no 529-16-0102-00049.

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