Okaloosa County BOCC — May 20, 2014 — UTILITY BILLING COORDINATION SHEET

Al Con i”, de Ade RECEIVED MAR 06 294 Meare ef Lift Yoke sy sof Nike CONTRACT & LEASE INTERNAL COORDINATION SHEET~ Contract/Lease Number: Tracking Number: CEIIF Contractor/Lessee Name:Qeol tk aie -} MH Grant Funded: YES NO_S< Purpose Lith, Gap sts Date/Term: Z/aa| liz wz Fare yi peu, LC] GREATER THAN $50,000 Amount: AB Db 2. [] GREATER THAN $25,000 Department: Ld S 3. CJ $25,000 OR LESS Dept. Monitor Name: of} Haat /y. Bertier. F F we NIG L U0) AU Document has been reviewed and includes any attachments or exhibits. \N ») Uv Wey Purchasing Review Coretta AS te _ t- dhealen gun bl th Procurement requirements met: Carta! See WM) Date: 3-L LY Puichasing Direttor orDesignee Doanne. Keb h IC — oz Risk Management Review var as py, om , . A Ly “A # f ow = Lf. x TG fe a7 Date:___~>/ ft Risk Manager or design nee v oo O ‘ Moa 8 (use Sal ton f {drier Histes cat Wheat County Attorney Review roved as written: —— (0, Jo pate_ D—IW = NY malware Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager