Orange County NC Website
DocuSign Envelope ID: 555476E3-EEA5-4798-A206-693D97B8251 D <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br /> hereunder set their hands and seal, all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> DocuSigned by: ,---DocuSigned by: <br /> By: 1561A,LAAt, tkcvnolt-IrSt By: jod, S(,t,t,u <br /> C• dz.%7.-a4:r pier --E57C971E8D914B3.. <br /> Joel Sheer, President <br /> Printed Name and Title <br /> Revised 6/16 <br /> 7 <br />