06/06/1995 AgreementADDENDUM TO AGREEMENT
THIS ADDENDUM TO AGREEMENT is made and entered into this Ch day
of Tuo': , 193between the COUNTY OF MONROE and
6L:0 is &` U% 44 wis in order to amend that
certain AGREEMENT between the parties dated on the dk6 day of
)QAA � A , 19 9a'.
WHEREAS, the COUNTY has approved a maximum monthly rate increase
from SIXTEEN HUNDRED AND NINETY ($1690.00) DOLLARS per month to
EIGHTEEN HUNDRED AND FIFTY ($1850.00) DOLLARS per month effective
July 1, 1995 and
WHEREAS, �'R b� l 1.3 desires to continue
residency at Bayshore Manor beyond July 1, 1995, and agrees to
pay the monthly rate increase,
NOW THEREFORE, the PARTIES agree that commencing on July 1, 1995
the monthly maximum rate will be increased to EIGHTEEN HUNDRED
AND FIFTY ($1850.00) DOLLARS per month.
The PARTIES further agree that both JOHN LEWIS and MYRNA McKILLIP
are, as of the day and year first above written,
designated as RESPONSIBLE PARTIES for the RESIDENT and that by
signing this ADDENDUM TO AGREEMENT both JOHN LEWIS and MYRNA
McKILLIP agree to accept the role of RESPONSIBLE PARTY for
RESIDENT.
The PARTIES further agree that as of June 1, 1995 the COUNTY OF
MONROE will no longer be responsible for the payment of any
prescription medications or over -the counter medications
obtained by Bayshore Manor on behalf of or for the use of
RESIDENT.
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The PARTIES further agree that in all other respects, the
AGREEMENT between them dated the ; "-'� day of h'm C t( ,
19_1,f-, remains in full force and effect.
IN WITNESS WHEREOF, the PARTIES have hereunto set their hands
and seals, the day and year first above written.
ITNE SES AS TO RESIDENT
WITNESSES AS TO RESPONSIBLE
PARTIES
DATE:
DATE: la- L, �S'
APPROVED:
0 "�IGNATUREUOF RESIDENT
e-
A&GIIATURE OF RESPONSIBLE PARTYSL
SIG ATURE OF RESPONSIBLE
�AR
i
SERE OF/ DIRECTOR
SIGNATURE OF EXEC. DIRECTOR
SOCIAL SERVICES DEP,JIRTMENT
SIGNATURE -OF ADMINISTRATOR
MONROE COUNTY, FLORIDA
APPROVED A5
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