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0211200R 12 : 10 3215375302 PURC;HASIN6 HAVE E=18 / Un' <br /> BREVARD COUNT <br /> BOAW OF COLWTY C0haffSS70YFW <br /> INMA L coNTRACT FORM <br /> SECTION l <br /> The following information must be completed on all new contracts submitted to the Board: <br /> F2, FumYAvcvwtta <br /> aetar. Abxaakm Marino Totting A Salvager Me. <br /> OOOtt21S357 3 DhiMen Naew: NahmW Rr�srwroars Mamorr+ent <br /> <. Conhud Description: rm"Geet va"M Removtl <br /> S. cwvact Monhor. Min Culmr 6. Mail stop S: isi <br /> T. Dmwotrom Outlets.. Ernes: Na Brown S. Class Code: <br /> ACTXM DATE: ACTWN FSOL NFi MMT: ApprmW <br /> SECTION II <br /> The fouowing departments must approve all contracts submitted to the Board. <br /> APPROVAL <br /> COUNTY OFFICE M no INIITIA_L..S- Date <br /> User Agency /Moo; <br /> ❑ ❑ r% <br /> Risk Management ❑� ❑ <br /> County Attam+sy �7 ❑ 6 1S Je7 <br /> User Agency ❑ ❑ _.._ <br /> it any office denies approval, the package will be mtwied immediate to the User Agency , <br /> NOTE» This jorn should be attached to all new conoacts being submitted to the: Board for approval. After the <br /> contract has been approve4 the con8uct package, including this fonts, will go to the Clerk to the Board. <br /> ?tris initial entry will generate an envy on your mnndily contract report and the fast report will always <br /> show a "Requu+edAction "for the contract. See A0.629 for additional irtjorando?L <br /> AO-299: EXHIBIT I <br /> Last update 091 W6 <br />