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DocuSign Envelope ID: 76F23F72-C1BA-4BC6-A047-6A3221195286 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pamela Reading Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 105 CharlesbeM Lane City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,500 <br /> Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 60403 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective <br /> Date September 12,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical�f grmand content: <br /> , 'r( <br /> Department Director's Signature iU ur Date: 9/20/2015 <br /> B7E962D1BF454FA... <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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''111L <br /> Office of the Risk Management Officer PAUStL (,6vt e& Date: 9/21/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ---DocuSigned by: <br /> Office of the Chief Financial Officer <br /> rNAL tM06VU Date: 9/21/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le �03 oam aAd:sufficiency: <br /> u igne y <br /> Office of the County Attorney 5 Dat e: 9/23/2015 <br /> 45C B8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 4 <br />