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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Pamela Reading Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 105 Charlesberry Lane City Chapel Hill State: NC Zip: 27517 Department: Agipg Aging Amount: $3,000.00 <br /> Purpose: Embroidery Class Budget Code(s): 10430120-629000 Vendor#60403 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date <br /> July 26,2014 Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> , <br /> This agreement is approved for sufficiency of insurance standards,specifications,an requirements: <br /> JUL 31 2014 <br /> Office of Risk Management ,� �/l�Date: O <br /> '7131 By �► <br /> Financial Services <br /> This instrument has been pre-audited in the manner required b the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer U 1/'�"�— Date: <br /> 8(5 <br /> Legal Services <br /> This agreement is approved as to legal fo and ficiency: <br /> Office of the County Attorney Date: <br /> Revised 7/14 4 <br />