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DocuSign Envelope ID:27F6C7D6-F859-47B4-8728-EDOB268A4EE6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Publishing Place Party/Vendor Contact Person: Moli Jones Contact Phone: 919-451-1645 <br /> Party/Vendor Address: PO Box 212 City Hillsborough State: NC Zip: 27541 Department: Social Services Amount: <br /> $3,000.00 Purpose: JCPC Marketing Budget Code(s): 10795020-719012 Vendor # N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 5/20/16 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to to @&4uf& d content: <br /> Department Director's Signature r� � ,���o,�bvu Date: 5/27/2016 <br /> Information Technolosies <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 /www*standards, specifications,and requirements: <br /> Qusa, (hnt,tN 5/27/2016 <br /> Office of the Risk Management Office .F96F94W-9899498 Date: <br /> Financial Services <br /> This instrument has been pre-audited i V1feV squired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ta Date: 6/2/2016 <br /> 494ES184,4Gv, 9... <br /> Legal Services <br /> This agreement is approved as t c ftY Ad sufficiency: <br /> Office of the County Attorney Date: 6/3/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 />