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Okaloosa County BOCC — January 30, 2013 — Completed Coordination for City of Laurel Hill — reading text

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CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: “tly of Local Hill - fd fracking Number: @2Y7 3 -Contractor/Lessee nome: Cfy of Lavcel Hell _ Grant Funded: YES. NO____ Purpose: ie Parecmen. CL bya Aontwe/ Dote/tomy Azle 7 1. EAGREATER THAN $50,000 amount ads 2, (1) GREATER THAN $25,000 Department: ul too fes 3. 1) $25,000 OR LESS Dept. Monitor Name: __/- C- Annes Document has been reviewed and includes any attachments or exhibits. Purchasing Review Date: ste) Zz Risk Management Review Approved as Date: S/Z27% Risk Mghager or designee County Afforney Review ove “/] . Date: ia a id (3 Cc ttormey SC Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager

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