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Okaloosa County BOCC — December 4, 2012 — ERMC Amendment & Coordination Sheet — reading text

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(2009/01) The ACORD name and logo are registered marks of ACORD - © 19882009 ACORD CORPORATION. All rghts reserved. INS025 (200901),01 RECEIVED ~;:.~ 1 :. }f{>6 I 'J.. -I () - /':2­ CONTRACT & LEASE INTERNAL COORDINATIONSHEET ContrnctlJ...ease Number: CrJDtractor/Lessee Name: Purpose: Se -,..... t lANf~ Daten'erlQ: '1' '). ­ I"'!. Amount:Sf~ ,,')~, I'V ~"'Lj Department: It~(r~ Purchasing Review Procurement requirements are met: Date: County Attornit}' Revittv Date: _1--1----,'--.. . . ._ Following Okaloosa County fjOllrd ofCouoty Commissioners approval: Contract & Grant Review Document hilS been approprintely reviewed and is executable: Date: _ _ _ _ __ I Contracts & Grants Manager REVISED BY BeC 3-21 ·00

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