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Okaloosa County BOCC — September 16, 2014 — Coordination Sheet-Medical Director's Contract Amendment — reading text
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CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number:(?7)9 = [TAI ™ FS Tracking Number: 1°77 LY
Grant Funded: YES Nox
Contractor/Lessee Name: L, (Dorsaley Wane,
Purpose A dden t eo
Date/Term:_F ! He) n4 - sh 15 1. LJ Greater THAN $50,000
aroun af [ fe 2. L] GREATER THAN $25,000
Department: PS 7 3. im $25,000 OR LESS
Dept. Monitor Name: V Wei Hecben
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Date: Ye /2= i
=e
Purchasing Birebtor or Designee Joanne Kublik
Risk Management Review
ae as written:
Lage to DSK = Date: q =o - i
Risk Mahager or designee
[™
County Attorney Review
Approved as written a
SeST wn) owe t= C=1Y
couprnatp Attorp ey Gregory T. Stewart
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager .