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Contract Execution Routing Form <br />Instructions: This form should be completed and attached to all contracts being routed for signature by the Executive <br />Director or appropriate delegate. The Contract Routing Review Form should be used for contracts which are being routed <br />for review but not execution. The routing should occur in the order specified below. <br />1. Contract Number: <br />2. Contract Manager: <br />3. Contract Manager Telephone #: <br />4. Date: <br />00252 <br />Rosa Torres <br />617-9546 <br />2/8/16 <br />5. Requestor: Rosa Torres <br />6. Requestor Telephone #: 617-9546 <br />7. Division/Office: <br />-IGM <br />8. Title: Indian River County Public Shooting Range Concessionaire <br />9. Contract Manager Confirmation that no changes were made afte EGAL re • v during initial routing and review. <br />Contract Manager Confirmation, NO CHANGES MADE: 0—!d 02 cR,�/ to <br />Contract Manager Signature ` DATE <br />If changes were made since initial LEGAL review, provide list of changes below and obtain LEGAL review and approval <br />prior to the completion of this form and execution of the contract. <br />10. Signature <br />Please route to next signatory upon completion of your review. <br />CONTRACT MANAGER <br />Signature `� Date: .2/23/6, <br />Name: ,/".i2 <br />OSGL► /d /,-e,t- <br />OTHER (Please Specify ) <br />Signature: Date: <br />Name: <br />LEGAL (Review for Legal Sufficiency) <br />Contract Manager may select N/A if no changes are confirmed in the attestation above. N/A <br />Signature: Date: <br />Namc: <br />• <br />EXECUTIVE D R iii} DELEGATE (Executing on Behaalfolfthe Commission) <br />Signature: Date: 1,5 r -tXl 1 <br />Name: ERIC SUTTON <br />Return signed Contract/Grant Execution Routing Form and <br />executed agreement to the above Contract Manager for distribution. - <br />Contract Execution Routing Form <br />Version —June 24, 2014 <br />