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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Town of Carrboro Party/Vendor Contact Person: Holly Holland Contact Phone: 919-942- <br /> 8541 Party/Vendor Address: 301 W.Main St. City Carrboro State:NC Zip: 27510 Department:Aeigg Amount: <br /> $5,000 Purpose: Senior Lunch Program local support Budget Code(s): 10430105-449001-71086 Vendor# 595 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal® Amendment ❑ Effective Date Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature 64se Date: <br /> 61 10 <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 � _'Y--� c� Date: 7 %P <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer ✓/' Date: �fiq <br /> Legal Services <br /> This agreement is approved as to legal form fficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />