HILLSBORO SCHOOL DISTRICT 1J PERSONAL SERVICE AGREEMENT Vendor Name: Social Security Address:
City State Zip
Date: Phone
It is hereby agreed by and between Hillsboro School District 1J and the above named person to provide the following services:
Such services shall be performed between
Dates
and
Compensation shall be:
Signature of Administrator
to be paid at the completion of assignment.
Date
I accept the offer as outlined above:
Signature of Consultant/Contractor Date
The above assignment has been completed and payment is hereby authorized. Administrator Budget Account Numbers: Fund Function Object Location ARA Amount Date
B010
Revised 3/13/00/ kew White: Business Office Yellow: Originator Pink: Consultant/Contractor