Orange County NC Website
DocuSign Envelope ID: CCB5CCD8-1AB9-4C00-B1 F6-A07CF92FB7AD <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br /> hereunder set their hands and seal, all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> DocuSigned by: (:Y21 uSigned by: <br /> By: joV�,i�t tf ( ammvs By:County Mari 37994B755E477.._ A88075DAF483... <br /> J Vincent Tesoro II President <br /> Printed Name and Title <br /> i <br /> Revised 7/14 <br /> 7 <br />