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Okaloosa County BOCC — May 20, 2014 — Coordination Sheet-EMS Billing Contract 2014 — reading text

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CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Tracking Number: 4 5G i Lif Contractor/Lessee Name: Lyil@emediy Grant Funded: YES___—sNO___ Papo 21S RLbing + Contract fet EMS 33-17 Date/Term: 9 [30] jap 1. [] GREATER THAN $50,000 Amount: Ror. cencknant 2. [[] GREATER THAN $25,000 Department:_{-S 3. L] $25,000 or Less Dept. Monitor Name: V Daw [bor Document has been reviewed and includes any attachments or exhibits. Purchasing Review Pr ment require YS are E x a) Te Date: AL -S EY Purchasing Director of Designee Spies nn 2. Kiel, k Risk Management Review Approved as wr tens Lf a ge ay ot “ Date: ylaJ14 . 3 a, * rea or designee fe /) vA C County Attorney Review Appyoved as wré WwW Date: 5 -5 = st aa) (eae a (0 SOV ATE OR W005 a Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager

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