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DocuSign Envelope ID:36A1758E-5364-41`8C-9594-955423313131D4 <br /> ORANGE COUNT Y—DEPARIMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Saw San Mya Party/Vendor Contact Person: Same Contact Phone: 919-360-4309 Party/Vendor <br /> Address: 110 Fan Branch Lane City Chapel Hill State: NC Zip: 27516 Department: HHR&CD Amount: $2.000 <br /> Purpose: Karen Interpretation Budget Code(s): Vendor 9 57752 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> 7/1/2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to ��4ftgwl ayid content: <br /> a"...-"�"� Cn�en �� 8/26/2015 <br /> Department Director°s Signature 13f�-0�1F0864E9_ _ _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 Chief'Information Officer Date: <br /> Risk Management <br /> This agreement is approved for suf'ficienc d&&ar&>crystandards,specifications, and requirements: <br /> auso, 66VYn,t,�{'6 8/31/2015 <br /> Office of the Risk Management Officer ,�FDGF914€809498_. Date: <br /> Financial Services <br /> Ihis instrument has been pre-audited in °m--mgmawAuired by the Local Government Budget and Fiscal Control Act: <br /> Lrw/l 2015/ /Office of the Chief'Financial Officer Date. 8 31 <br /> �oFF=TAZ471 — <br /> Leal Services <br /> This agreement is approved as t Jirrr da*d sufficiency: <br /> Office of the County Attorney _ Date: 9/11/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydnoranaecountvnc.Soy <br /> The fbllowing signature block is for hard copies only and is not required fbr Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> 8 <br /> Revised 06/15 <br />