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Okaloosa County BOCC — October 15, 2013 — Coordination Sheet-Medical Examiner — reading text

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RECEIyED en AUs 2 12mg CONTRACT & LEASE INTERNAL COORDINATION SHEET . Contract/Lease Number: 04-/0497-BC. _ Tracking Number: Us . Contractor/Lessee Name: Lallateds LV. Miayord, , MD. . Grant Funded: Yes__ Now” Purpose: Methtel Exam! atc Sertigs. . ; pate/tem: Sead. 2 ZY 1, FY-GREATER THAN $50,000 "4 ; Amount! _5/0,5@9.0 2. (1 GREATER THAN $25,000 Department: Doble Sabithy 3. (0) $25,000 OR LESS Dept. Monitor Name: D VLA mn VL ‘ Document has been reviewed and includes any altachments or exhibits, Purchasing Review Pro t requirements are met: q ; Date: ELLE ing Director or designee Risk Management Review Approved os yrith Axed ¢ Date: 22, f Risk Manager or designee County Attorney Review County Atlomey Following Okaloosa County approval: Contracts & Grants Document has been received: Date: — Contracts & Grants Manager

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