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Administrator: <br />RxBenefits, Inc. <br />By: <br />Printed Name: Lauren Simmons <br />Its: Director of Compliance and Leizal Affairs <br />Client: <br />Indian River County Board of County <br />By:_ <br />Printed <br />Its: <br />ATTEST: <br />ATTEST: Jeffrey R."'SmtiY h, Clerk <br />of Court and Cpmptrollei <br />Exhibit A (Client Application) Follows] <br />BY: , <br />t)epu-Ey Clerk <br />BCC Approved: January 23, 2018 <br />APPROVED Af-� 7C, FORM <br />AND LEGAL <br />BY _ <br />DYLAN <br />00UNTY ATT 0Rj'%1EY <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />18 <br />