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Okaloosa County BOCC — September 16, 2014 — Coordination Sheet-Medical Examiner Amendment — reading text

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CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number:_(_ 0) 4) ~/O%7~ (4C.C.. Tracking Number:_/@ | Grant Funded: YES NO x Contractor/Lessee Name: Piper men t_ Mee En Cun Cmte Purpose {© A Denendintete bate/term:__ 9/30 hs 1. DeLcreater THaN $50,000 Amount: 22 N74 02a. 08 2, L] GREATER THAN $25,000 7m Department: PS 3. C1] $25,000 oR Less Dept. Monitor Name: VV Llane i thee Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurement requireme ents ares at oo eo ( re Ser) Date: Bo -BeHly Purchasing Direc} Or or Designee Joanne Kublik Risk Management Review Approved as written: Se ost le on Date: SY RisW Manager or designee 8 =) County Attorney Review proved as writt@n: Ceteame \ | 5 Ste aT nate: 9-1 F~ County Atdiney Gregory T. Stewart sonal Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager

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