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DocuSign Envelope ID:6B327DC5-E6C0-408F-AB2A-D3E45E94E4DB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Valerie Love-Koyama Party/Vendor Contact Person: Valerie Love-Koyama Contact Phone: <br /> 336-684-7458 Party/Vendor Address: 7403 A S NC-87 City Graham State: NC Zip: 27253 Deparlulent:Planning&I <br /> Inspections Amount: $75.00 per recorded hour Purpose: Transcription of Board Meeting Minutes Budget Code(s): <br /> 10620020-630000 Vendor# 63499 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> p DocuSign¢edby: <br /> Department Director's Signature ��"0 1/UA A 1,k1 Date: 12/21/2015 <br /> L846D10DA3CFD4C2... <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 /> p DocuSigned""by: <br /> Office of the Risk Management Officer QLSo (bVt&t*''11 l 11 b Date: 12/21/2015 <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 Office ('1 0.--&--- Date: 12/21/2015 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> h ocuSigne¢d.by: <br /> Office of the County Attorne <br /> J L r aun Date: 12/22/2015 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <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 />