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2018-240-E Health - Starpoint
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2018-240-E Health - Starpoint
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Entry Properties
Last modified
8/2/2018 8:42:03 AM
Creation date
8/2/2018 8:39:49 AM
Metadata
Fields
Template:
Contract
Date
6/8/2018
Contract Starting Date
6/11/2018
Contract Ending Date
8/31/2018
Contract Document Type
Agreement - Services
Amount
$10,000.00
Document Relationships
R 2018-240 Health - Starpoint electronic records management
(Attachment)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: 97E04238- A5D4- 41EE- ACB6- DDF028BB5823 <br />Exhibit F <br />Authority For Access <br />This shall be considered authorization for the following named individuals to have access to the contents held in the account of: <br />Client Name: Orange County Health Department Client Account No. <br />Department Sub Department <br />Client Address: City: State: Zip Code: <br />at Starpoint Global Services. These same individuals shall be considered having authority to order any and all disposition of the contents of this <br />account by personal access, telephone, facsimile, email or written request until further written notice. <br />ADD THE FOLLOWING: <br />Pam McCall <br />(Printed First Name) (Printed Last Name) <br />Lisa Lowe <br />(Printed First Name) <br />Lisa Yourko <br />(Printed First Name) (Printed Last Name) <br />lulia Vann <br />(Printed First Name) (Printed Last Name) <br />Cathy York <br />(Printed First Name) (Printed Last Name) <br />Meghann Johnson <br />(Printed First Name) <br />April Walker <br />(Printed First Name) <br />(Printed Last Name) <br />(Printed Last Name) <br />Madelyn Davis <br />(Printed First and Last Name) <br />Rebekah Hermann <br />(Printed First and Last Name) <br />Robin Gas arini <br />(Printed First and Last Name) <br />Judy Butler <br />(Printed First and Last Name) <br />(Optional Password, 8 characters) (Signature) <br />(Optional Password, 8 characters) <br />(Signature) <br />(Optional Password, 8 characters) (Signature) <br />(Optional Password, 8 characters) (Signature) <br />(Optional Password, 8 characters) (Signature) <br />(Optional Password, 8 characters) (Signature) <br />(Optional Password, 8 characters) (Signature) <br />VOID THE FOLLOWING: <br />(Printed First and Last Name) <br />(Printed First and Last Name <br />(Printed First and Last Name <br />(Printed First and Last Name <br />THIS AUTHORIZATION cFffln&IIGNED BY AN OFFICER OR AUTHORIZED MANAGER OF THE COMPANY <br />AUL,A. 6/12/2018 <br />Quintana Stewart, MPA " Health Director <br />(Print Name) Sigrature) (Title) (Date) <br />This document is confidential and contains the names of those individuals who are authorized to access any and all records stored at Starpoint Global Services. This information is intended <br />only for the use of those individuals. Do not copy or distribute. To maintain security of your records please notify us immediately of any and all changes using this form. Changes become <br />effective 24 hours after receipt of Original Copy. Fax and photocopies cannot be accepted. <br />3 <br />
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