NOTICE OF AGREEMENT AND CONTRACT BETWEEN
___________________________, a corporation, doing business as
___________________________, a restaurant
and
Charles G. Hill, an individual
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KNOW ALL YE BY THESE PRESENTS, THAT:
On ______________________ (date), Charles G. Hill, an individual, party of the first part, hereinafter known as "Diner", did enter the premises of __________________, a restaurant, party of the second part, hereinafter known as "Restaurant", and did request that he be served one or more of the following:
___________ Eggs, over easy ___________ Sushi ___________ Eggs, sunny side up ___________ Vichyssoise ___________ Steak tartare ___________ Other (specify)
Diner and Restaurant stipulate that the preparation of such items may be contrary to the wishes of the Food and Drug Administration.
By this Agreement and Contract, Diner and Restaurant mutually and severally agree that Diner shall indemnify and hold harmless Restaurant for any and all damages, which may include any or all of the following: Salmonella Acid reflux Diarrhea Halitosis or any other conditions, which may result from the preparation of the aforementioned items at the request of Diner. Further, Diner and Restaurant agree that because of crowded conditions prevailing on Restaurant's premises, should Diner be served said items in Restaurant's smoking section, Diner reserves the right to remain silent.
This Agreement and Contract supersedes any previous agreement that may exist between Diner and Restaurant, and is not subject to review by the Department of Health and Human Services, of which the Food and Drug Administration is a part.
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Given under our hands this date, _______________________________.

___________________________ ___________________________ For the Restaurant Diner
The Vent

#249
17 June 2001

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 Copyright © 2001 by Charles G. Hill