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L-44 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: HHa py Homecare Staffing, Inc. Party/Vendor Contact Person: Lesa Kendrick Contact Phone: <br /> (919) 7324663 Party/Vendor Address: 6720 Pentecost Road City Cedar Grove State: NC Zip: 27231 Department: <br /> Social Services Amount: 10,000 Purpose: RN Services Budget Code(s): Vendor#N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date August 20,2014 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form ontent: <br /> Department Director's Signature Date: q // <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 /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management — Date: 7 / 7 ff <br /> 9115 <br /> Financial Services <br /> This instrument has been pre-audited in the anner required by the Local Government Budget Inda Fiscal Control Act: <br /> lie hief Financial Officer Date: l 'Y <br /> a � � c� adc� <br /> S E P 1 5 2014 Legal Services <br /> his agreement is approve a to legal fo sufficiency: �} <br /> By <br /> 11THze 01 Ine-K-0.11ty At 1" <br /> y Date:_q,4 <br /> Clerk to the Board <br /> Received for record retention: 9 / <br /> Office of the Clerk to the Board Date: ` 6 <br /> y <br /> Revised 7/14 4 <br />