MOREHOUSE PARISH SCHOOL BOARD P.O. BOX 872 Bastrop, LA 71221-0872

CONTRACT FOR SERVICES

Name:

Address:

Phone Number:

I, , have agreed to the following:

This service will provide a total of hours for participants. The date of the service is .

The Morehouse Parish School Board agrees to pay the total sum of $ for the

I will invoice the system for my services no later than thirty days after the services have been provided. My invoice will not be paid prior to the date of the services.

Contractor receiving individual awards hereby Contractor’s proof of credentials is on certifies that the organization and its principles are file in district office. not suspended or disbarred from any Federal or State program. Yes No

Contractor’s Signature Social Security Number

Program Manager Morehouse Parish Schools