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D If checked, please submit the following : <br />• Copies of __ (in sert l i st of item s) <br />to the attention of: _(insert name of DO H em pl oyee )_ <br />at _(I nsert ad dress to w h ich m ate r ia l is se nt ) __ . <br />9. ALL WRITINGS CONTAINED HEREIN <br />This Agreement and attached Exhibit(s) contains all the terms and conditions agreed upon by <br />the parties. No other understandings, oral or otherwise, regarding the subject matter of this <br />Agreement and attached Exhibit(s) shall be deemed to exist or to bind any of the parties <br />hereto. <br />IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature <br />below. <br />INFORMATION PROVIDER <br />State of Washington Department of Health <br />~QotJib= <br />Signature <br />µ~e vikQ, (-l l-c--L kr~ <br />Print Name <br />Date <br />INFORMATION RECIPIENT <br />~ Signature <br />'1v1t>-!en W <br />Print Name <br />Date <br />Page 18 of 26 <br />09/2017