Sample Service Contract and Acknowledgement Receipt - DOC

Document Sample
Sample Service Contract and Acknowledgement Receipt - DOC Powered By Docstoc
					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