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<br />DocuSign Envelope ID: 3FC4FDCE-8891-4FC9-9337-9E985C284586 <br />ORANGE COUNTYDEPARTMENT USE ONLY <br />NOT A CONTRACT EXHIBIT OR ATTACHMENT <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: (919) 943-6451 <br />Party/Vendor Address: 3213 Anandale Road City Durham State: NC Zip: 27705 Department: DEAPR-Recreation <br />Amount: $2344 Purpose: Piano and choral instruction Budget Code(s): 10511020 630000 Vendor # 61078 (N/A if <br />new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal <br />Amendment Effective Date 9/1/14 Approved by Board Yes No Agenda Date: <br /> <br />This agreement is approved as to technical form and content: <br /> <br />ature <br /> ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Director of Information Technology <br />___________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management <br />_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer <br /> ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney <br />__________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br /> <br />Office of the Clerk to the Board <br /> __________________________________________Date:_________ <br /> <br /> <br /> <br /> <br />Revised 7/14 <br />4 <br /> <br />