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Okaloosa County BOCC — July 1, 2014 — Coordination TPA — reading text

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m | = Ai Te chat, lhick aad th boy dew onder hie fir pe sobfe sendhak. Thanks: CONTRACT & LEASE INTERNAL COORDINATION SHEET 1 24 yy T Contract/Lease Number: Tracking Number: 32 of Y Contractor/Lessee Name: Grant Funded: YES NOX purpose REP ~ TPA =Rroperty , Liability, We KEP 95.74 Date/Term: 7 6 1. [[] GREATER THAN $50,000 Amount:__7 JD 2. [[] GREATER THAN $25,000 Department: RY) 3. LJ $25,000 or Less Dept. Monitor Name: fleduren| eof Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurémentrequirement: ZF Ll (_ bate: f- Pefty f } t Purchasing Difector or Désignee Risk Management Review Approved as es +) A ~/ \peufl l oC f y Date: YS f/ vA Risk Manager or designee Fok ko K VA [ a | County Attorney Review pproved as wri - Se a Gal { Date: County Atorfey Sree NanEN s I= <r Dew! a Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager

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