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2021-134A
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2021-134A
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Last modified
10/15/2021 9:39:06 AM
Creation date
10/5/2021 2:44:31 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/14/2021
Control Number
2021-134A
Agenda Item Number
10.A.2.
Entity Name
Steward Sebastian River Medical Center, Inc.
Subject
Special Assessment Agreement and Indemnity Agreement
Agency for Health Care Administration (AHCA)
Document Relationships
2021-012
(Agenda)
Path:
\Ordinances\2020's\2021
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ATTEST: <br />Approved as to Form and to Legal Sufficiency <br />By: <br />County Attorney <br />Wi ss: <br />Print name: Sr P<A_T_ <br />STATE OF r lo(vA ) <br />COUNTY OF ivey) <br />Ga............. <br />Ac4, .ti, <br />Indian River County, by its Board of �s <br />County Commissio rs , ,) <br />By: <br />c <br />ep E. Flescher, Chairmafi�� <br />A oved as to Terms and Conditions <br />STEWARD SEBASTIAN RIVER <br />MEDICAL CENTER, INC., <br />a Delaware c e ation <br />By: <br />Name: L <br />Title: <br />The foregoing instrument Was acknowledged before me by means of Unphysical presence <br />or online notarization this day of September, 2021 by D Qh j ft k.htl 1 <br />as S ` of Steward Sebastian Medical Center, Inc., a Delaware corporation, who <br />is personally known to me or has produced as identification. <br />(;otar,y Public <br />(Seal) <br />*w � d bd <br />y <br />e <br />EMy CoMn**W WM GG $44054 <br />4 <br />
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