Orange County NC Website
DocuSign Envelope ID:7F09D547-D59D-44A9-AA51-DAABA2B54B42 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Linda Karcher Party/Vendor Contact Person: Linda Karcher Contact Phone: (919) 918-2200 <br /> x25034 Party/Vendor Address: 95 Carson Ct. City Pittsboro State: NC Zip: 27312 Department: Health Amount: <br /> 5500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor # 57568 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date July 1,2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to r}lC�TTIMbgnd content: <br /> (,bUf t l� 6/28/2016 <br /> Department Director's Signature csEOSOoFCSasasE... 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 sufficienc ft�l01standards, specifications,and requirements: <br /> Q�SA r,Orin c X16 6/28/2016 <br /> Office of the Risk Management Officer 7FOC,9178soo498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i#'W'1NftE1%quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> i t a 4F:S Date: 7/12/2016 <br /> � cr.�an4-- <br /> Legal Services <br /> This agreement is approved as t fmrwaad sufficiency: <br /> Office of the County Attorney ` Date: 7/12/2016 <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 6/16 4 <br />