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DocuSign Envelope ID: 742EOA27-3C44-4776-BD32-AD6A2FO7984E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nelson Alarms, Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: <br /> 8669252761 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: <br /> 698.75 Purpose: Install Burglar Alarm Budget Code(s): 10240320-630000 Vendor # 39886 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 4/18/2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to cRBJIFY6WA-d content: <br /> Department Director's Signature � OA46CF64 � Date: 4/18/2016 <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 sufficient /� omstandards, specifications, and requirements: <br /> QuSA. r,Ovv�cal6 4/18/2016 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in d � r'a%quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 4/19/2016 <br /> 7D4E6181 ACC1409... <br /> Legal Services <br /> This agreement is approved as t ^ I'�qbg�N••d,��sufficiency: <br /> Jb� r6ufs 4/22/2016 <br /> Office of the County Attorney =� €�A � Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL�oranr ecountync.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 1/16 4 <br />