OMB NUMBRER: 3064-0122
EXPIRATION DATE: 12/31/2019
FDIC 5210/04A (2-13)
Federal Deposit Insurance Corporation
AGREEMENT FOR SERVICES
(EXPERT/LEGAL SUPPORT SERVICES (LSS) PROVIDER)
RATE SCHEDULE (Continuation Sheet)
Page of
BI
LLABLE INDIVIDUAL
(First, Middle, Last, Suffix)
Alphabetical Order
TIMEKEEPER ID TITLE
MINORITY
STATUS
Asian American (A)
Black American (B)
Hispanic American (H)
Native American Indian (N)
GENDER
(M or F)
HOURLY
RATE
FIXED
RATE
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