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W6 <br /> 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: Aging Amount: <br /> $1,400 Purpose: RSVP local support Budget Code(s): 10434005-448910 Vendor # 595 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ <br /> 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 Date: 9 � <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 requirement D a <br /> SEP 15 2014 <br /> Office of Risk Management - ("e1-- Date: } o <br /> _ <br /> 115 By <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act:Office of the Chief Financial Officer ok� � A__, Date: r ly <br /> Legal Services <br /> This agreement is approved as to legal fo d sufficiency: <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 />