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DocuSign Envelope ID: 5477C56C-6943-4CF5-9775-A49D31 BD10FE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Stephen H. J. Rankin Party/Vendor Contact Person: Same Contact Phone: 919-308-6057 <br /> Party/Vendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR <br /> Amount: $900 Purpose: Historical Research for Historic Resources Publication Project Budget Code(s): 10610020 <br /> 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date May 15, 2016 Approved by Board Yes❑ No® <br /> Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> Docusigned by: <br /> Department Director's Signature FvWt, SfaAA,61 Date: 5/10/2016 <br /> 611 CFM D507A495... <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 /> Qusa. rbvv�c,116 Date: 5/11/2016 <br /> Office of the Risk Management Officer _ <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 /> ocuSigne by: <br /> Office of the Chief Financial Officer �° Date: 5/11/2016 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> uSigned by:, �, <br /> Office of the County Attorney 56Z, r6�t� Date: 5/12/2016 <br /> EAA3D33EDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(&oranQecountync.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 />