Sample Service Contract and Acknowledgement Receipt
Name: ________________________________________________________________ Address: ______________________________________________________________ Description of Service: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Date of Service: ____________________ Location of Service: ___________________ Remuneration: _____________________ _____________________________ Signature (Program Coordinator) ______________________________ Signature (Facilitator)
ACKNOWLEDGEMENT RECIPT Received the amount of _____________________________________________ ($___________ ) as payment for ______________________________________ __________________________________________________________________ _____________________________ Signature and printed name ________________________ Date