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Okaloosa County BOCC — August 5, 2014 — Corizon Amendment #2 Coordination Sheet — reading text
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CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number:_ C13 - 24 S8-Core Tracking Number:/C?.3/ Juf-
. Grant Funded: YES NOX
Contractor/Lessee Name: (Gre.
Purpose Quant AY, Cth Care Lynendmot-
Date/Term: q 30 ! lv 1. Bcreater THAN $50,000
Amount: 2 L] GREATER THAN $25,000
Department: CoR DQ : 3. im $25,000 OR LESS
Dept. Monitor Name:
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Date: T- [5 Sf
Joanne Kublik
Risk Management Review
Approved as Ze
Date:
Risk/Manager or designee ia Ki /.
ah ft
County Attorney Review
le as written\
N ‘ ee { N { (cone Date: 1 ~C (14
[Coynty Attorney’ Gregory T. Stewart
Following Okaloosa County approval:
Contracts & Grants
Document has been received:
Date:
Contracts & Grants Manager