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DocuSign Envelope ID:6DC55E45-5725-4642-990E-E7E61719EE79 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Infinity Holistic Healthcare, PLLC Party/Vendor Contact Person: Nicole Dinezza <br /> Contact Phone: 919-238-4094 Party/Vendor Address: 1289 N. Fordham Blvd, Ste E3 City Chapel Hill <br /> State: NC Zip: 27514 Department: Economic Development Amount: $2,500.00 Purpose: Business <br /> Investment Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes n No ® Contract Type: (Check one) New ® Renewal El <br /> Amendment ❑ Effective Date January 31, 2017 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techni a of i fidr ontent: <br /> t <br /> g4.444ity 2/8/2017 <br /> Department Director's Signature 37BD4EFAC1BE410... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br /> and is approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> Docu5i ned b <br /> This agreement is approved for sufficiency o nsu nc�'stg ndards, specifications, and requirements: <br /> QtASL V'tAA.A1'b 2/9/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> DocuSigned by: <br /> Control Act: <br /> Office of the Chief Financial Officer Date: 2/10/2017 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to eg 41.61`Phe 41d sufficiency: <br /> ,J°'"t,S Drrk, 2/11/2017 <br /> Office of the County Attorney 328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion <br /> @ Dolloyd@orangecountync.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 /> OCEDbiga June 2016 <br />