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Backup Documents 09/27/2016 Item #16C 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SiII6 V 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO.•LL V THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. /©/c Si V4=,e- ; p fy, /6 /s 1122.4 2. 3. County Attorney Office County Attorney OfficeMW--- 3 /S/ �,-2_- , 4. BCC Office Board of County —P7. Commissioners -c/; "-:\\-1-:A\le 5. Minutes and Records Clerk of Court's Office ji' ' Cts(2I((i 6 t-431°41 . PRIMARY -4431°41PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Phone Number V Contact/ Department /10),(51 UC-7Q 7-- pp/46 Zd'Z v37 Agenda Date Item was ./ Agenda Item Number Approved by the BCC Se-Pr. Z 7 Z O/(i 7/6. e-1 l I t i Type of Document Number of Original Attached O/2 I .i tp f - ttea A(G 010,EZ Documents Attached '"' PO number or account number if document is N % to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) I. Does the document require the chairman's original signature? 7 's 2. Does the document need to be sent to another agency for additional signatures? If yes, �� provide the Contact Information(Name; Agency;Address;Phone)on an attached sheet. _ 3. Original document has been signed/initialed for legal sufficiency. (All documents to be i (101 signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other parties except the BCC Chairman and the Clerk to the Board wi Pt 5. The Chairman's signature line date has been entered as the date of BCC approval of the �� document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's _ signature and initials are required. / -S 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into SIRE. i�1A Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 9/z7)ib and all changes made during IjJAt the meeting have been incorporated in the attached document. The County Jc c::::,,,,,,ti:0-, !��u Attorney's Office has reviewed the changes, if applicable. �� A �' 9. Initials of attorney verifying that the attached document is the version approved by the s BCC,all changes directed by the BCC have been made,and the document is ready for the _ _ na hta_ Chairman's signature. .._ e I: Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 £JO i 02nd alua QyAidd `Jane" IAT Pafoad JoruaS •g•d Mei Ohio— A, .a _ �� :Aq paaedazd I 00.009`SOL$ gatI JvIO.L IN! 00.000`05 $ II)IS L S IN 00.009`559$ I'sui •Insodoid parlonuu alp ur papinord su (s1sul rlop4m zoj pasn aq Tpm poipaur gorgm augap) `€ud3) aad paxi3 snId lap ❑ (V alnpauoS — Apnoq pagsilquisa) (JApg L) Iuualuw 2g auri j (i2I+SZ) s3soD aiqesJnquzia)J snid wing duin'❑ (STN) tuns duxn'i pa31ilo2aN® :(s)poupauz &urmolloJ aounpa000t ui uurd alp appsuaduroo 'pm A unop alp `anoqu paouaiajai 3uarzraa y alp 4pM aompa000u ul :uoi33suaduroD Wimp)JJOm srrl3 Jo not nu!uUa3 JO uoi,alduroo alp'pun 3uaUuaaBV imp • Jo suompuoo pun su ni arl2 o3 loa Igns uinuraa put anin ms 'pm £i Z9-b I #luauzaaay Jo app uoi3a udxa alp puoAaq spua3xa 314T Jam 3Izom /cue 3143 saa.Jau 3un3lnsuo3 arlZ •JapJ J )laom s!ql 2uTAunduz000n sr goirlm paaooad ao!IoN alp Jo a31p alp luau skup 00£ uul3im )from aIalduro) :)lzom Jo alnpauoS aounmoily II)isui * uuoj o onb alp uo pals!' sL puu Odd 043 ur pagposap )jaom ITU rzuoJaad I}Isui * :011rmolloJ arl4 pue lisodoad pagonpn alp ur pamap sy :)pom jo adooS •oui `Aunduzoj uorlon.usuoJ 3I-MS ag ITarlopJAJ :o4 pau2Issu si Japap asurlo.mdpap.rp )JJOm srrl4`anogn paouaraJaa 4uauza0J V aqua suompuoD put suzmm'tplm aou1pr0001 uI •Japap)lrom sIquo fi red n apnuz puu o3aaaq pagoviu sr goulm 9 i oZ `Z I lsany pappp lnsodoad alp ui pagpads s! 31a0m NI ZZ•t'OIOL :oN loafoad uor313S gi7 ?g)Iuvi aarao3S ding ploy oLznJlnS umopmoig .ropO djAkIDN :aurrN 3001oid :sn umou)l}lrom.JoJ sao!AIas Io3ouJuloo ATIlTIn Jo3 sl Jam )ITom srr41 8 I OZ `L Ain f :33nQ uoi31ardxg pu.r1uo3 «sJo1 WJ1uo3 kli19n punoz aapun ienuuy„ EL-£I Z9-t'13o1J1uo3 2IIQ2I0 311IOAc1 X391 E jo Z ogtm (juvlq dllouo/JuaIur a.8vdio 4apuzvulau) •uopemp;aaford to/pug.rapip)jJoM atp Sttunp sasue teq;Isaxa;u!jo;oiluoa Ispua;od ao jen;os/cue Jo Surtuea[Jo smog{817 usq 4M Sur;tam ui`ao;aaaLQ;uauraanao.rd aq;,typou o;saaaBB uut,d atj;`Xjjettot;tppy •paso{osip,Cjl%wag aneq;atjjuoa isrlua;ods seg uuld aq;aaq;at{m uo asaq pug 3laom pasodoad samaa gaigm(asintiratpo Jo`jBuot;sztusato`len;oua;uoo`Ispusug)i;rngoe 10 Is-Jaw!pauue{d Al;ua.uno ao `}uasaad`wed Sutuaaouoa s;as3 ;uenala.r Ijs lagaq puB aSpaiMouW.rtatj;3o;sag alp o;`;eq;`sasopsjp Agaaaq pus `say i o (s;uoSe ao/pus siaapjo `saa ioldula Sujpnjout) mug alp `nnojaq aanwuSis alp Xg alga .rotgJts!uruipy sara!i!;Il o!lgnd`zaul!A a9Jooa 9 i/VZA a;ett Joloana laoddng sno!a?Jade sail{!( , `auoijag 301 9/fr.JS ' :ng Q3AOUddV Ma/ tsTSal tS;uautaanoold"utsegotnd a, ' hiS 4//1/222 g ri --wild* AH QaAO2Iddd area Jolaarra e `"a d t +� O 01 p } t j' AH QaAO2IddV apt t moo [ , 'IOUS= ats r I 22 Cj Afl Q3A011dd'd Q Ja2Buey.1 t Bid`uapBoi• BMol l ice' l ;AU QtAO1ddV alga a92BUBy1l;00IO1d le .40,, Lid CIWd -d`zaup eyti sena. d7/dni 2 2 $ AS QaAO2Iddtr X3 91 Io £abed Web dea bppm a}ea epua6y T-737 #walk a •N tum a II /iauto �/hk rmrst&sy :iuj 'i pue au! s panotddy 4,auteu ssaulIm ssauii uooas ,Lauren ssaultm Ruud/adi I 1,apiq pun atnleu2ts Iuud/ad�i1� 6.19J:4;34% Vi/Pc)A - 1 11 re-i t a�n�eu�ts ss01.11im 1sa+ :gig •out quedutoD uotlonalsuoD iiago1g,j O.aanleu61s (iv s) s1uewJlc43 o;se;saw - — •poieQ ueutomJreg3 `eleId euuoU -' ,-777 only ''fig • )6 4 ' '`cg VQRTO'I3 `AINFIOO 2IgI I IOC S1JtV)O Jo)IaaJO `Nooag •g 1ITimU S2IHNOISSINI1OJ AINIIOJ dO Q'IVOH LSdLL�' •mojaq xeac pun awp alp uo JapJo 3pom sup painoaxa an1q`1uaRe Jo uosiod pazuotpne un Act` pnpoadsaJ `goes DAN`olaJoq soured agp `dOMIaHM SS NIIM NI 1391