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Okaloosa County BOCC — August 5, 2014 — Corizon Amendment #1 Coordination Sheet — reading text

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CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: Cl =D 58- Cc oR Tracking Number: 4030 cote Contractor/Lessee Name: Cprinern purpose Sdamaate. en pth Care Omonrdinot | Grant Funded: YES. NO_‘\~- Date/Term: 4G |Be | IL 1. MM GREATER THAN $50,000 Amount: 2 LF GREATER THAN $25,000 parma pte Y\ 3, L] §25,000 or Less Dept. Monitor Namei y Document has been reviewed and includes any attachments or exhibits. Purchasing Review Date: WE og Zp XR sing Directo¢or Designee Joanne Kublik Risk Management Review se as writte Date: US 4 Risk Lf a“ Crar Kya County Attorney Review Appfoved as written: i So essicass pate,_ © 21-1 Fouhty atoNey r Gregory T. Stewart Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager

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