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000wSWn Envelope ID:88584o08-7Aor-4rCoo088-38r30E30ro38 <br /> ORANGE C USE, ONLY <br /> Purty/Yoodor]Nome: Tommy Lawrence Electrical 9ortv/VoudorCoutmot Person: Wammll 1a Contact 9huoc 336 <br /> 599-47r71 PartyNendor Addouou: P.O. Box<4l Clty�U�0@o State:NC Zip: 27573 DopmpUuemk: DI��� /\moun\: <br /> $6.675 Purpose: Electrical service installation Budget Code(s): Vendor if <br /> new vendor) Vendor is B0CC couuu|Wyo\? YonFl Nog Contract |nuk one) New E Rumwn| [] <br /> Amendment Fl Effective Date January 15.2016 Approved hyBoard YaoE]NoM Agenda Date: <br /> ____ <br /> 7k|mvgreemeut is approved as to teelmical form and content: <br /> DocuSigned by: <br /> 0eyurtnowmt Director's Signature Date: <br /> Information Technologies <br /> (11pl)/icoble only mAmvhvxxelsmYwme pin-chases*/-relotedzu'ricax This agreement bou been reviewed and |u <br /> approved uxoo information tcoinzu|ogyuou|ccU and xpun|fioo1ioou: <br /> Office oy the Chief Im@nuatiom Officer Date:____ <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> o"""mo""u»,: <br /> Office o1 the Risk K&oongemmot OYNmu l)ak,:_______ <br /> Financial Services <br /> This instrument has been pre-audited |u the manner required bythe Local Government Budget and Fiscal Control Act: <br /> DocuSigned <br /> Office oK the Chief Financial Officer G;__�a Untc_______ <br /> Legal Services <br /> This agreement ioapproved f�o� <br /> Office of the County/kMmrney <br /> 76- <br /> Date: <br /> ______ocuSigned by: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Ducouigo oo/drootu must bccopied to Du/mo Lloyd upon completion @ <br /> Thx0oUmviogoi&uuk'mb|nok |mfbrhovdoopiemou|ynodimuotn:qo|nudfbrDoouui8ononbncts: <br /> Office of the Clerk tothe Board :______- <br /> Revised 10/14 5 <br />