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DocuSign Envelope ID:6A8A4A7D-5B90-4C9A-8119-4206FA363F7E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: (919) 943-6451 <br /> Party/Vendor Address: 3213 Anandale Road City Durham State: NC Zip: 27705 Department: DEAPR-Recreation <br /> Amount: $3,750.00 Purpose: Piano and Choral Camp Instruction Budget Code(s): 15011020 630000 Vendor # <br /> 61078 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 6/1/16 Approved by Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to to } n tent: <br /> 'l 5/16/2016 <br /> Department Director's Signature n„cFnwsnzma Date: <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 Eiqtepaastandards, specifications,and requirements: <br /> Qusa, (hntt N 5/16/2016 <br /> Office of the Risk Management Office �1PnrPaa7aaenAQ Date: <br /> Financial Services <br /> This instrument has been pre-audited i qavdttquired by the Local Government Budget and Fiscal Control Act: <br /> 6/17/2016 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as ty4epkfbmwaad sufficiency: <br /> Office of the County Attorney Date: 6/17/2016 <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 /> ff <br />