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2021-134C
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2021-134C
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Last modified
10/15/2021 9:36:56 AM
Creation date
10/5/2021 2:55:08 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/14/2021
Control Number
2021-134C
Agenda Item Number
10.A.2.
Entity Name
Cleveland Clinic Indian River Hospital
Subject
Special Assessment Agreement and Release of Liability
Document Relationships
2021-012
(Agenda)
Path:
\Ordinances\2020's\2021
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ATTEST: <br />STORM w M, <br />I �.— <br />Approved as to Form and to Legal Sufficiency <br />By: / <br />County Attorney <br />Witness: <br />Print name: <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />... VO�j�/sem` <br />Indian River County, by its Board df <br />County Commissio ers <br />By: : = .� <br />Joseph E. F1 scher, Chai OUPJ7Y,F\�:oP.•. <br />Approved as to Te s Conditions <br />By: <br />J so E. Brown, County Administrator <br />Cleveland Clinic Indian River Hospital, Inc. <br />a Florida / ation <br />J •e�� � <br />(Si ture) <br />Gregory Rosencrance <br />President <br />The foregoing instrument was acknowledged before me by means of (_x_) physical presence <br />or U online notarization this 17th day of September, 2021 by Gregory Rosencrance, who is <br />personally known to me. <br />IVVf <br />Notary Public <br />(Seal) <br />NON otary Public State d FWjda <br />Michelle V 80Ui r <br />023 <br />MY CORM"a w G(, 3353W <br />a � Expires 07/11/2 <br />
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