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DocuSign Envelope ID:4B5D452F-63A6-4193-9B82-9A9C05F191 C5 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Valerie Love-Koyama Party/Vendor Contact Person: Valerie Love-Koyama Contact Phone: <br /> 336-684-7458 Party/Vendor Address: 7403 A. A. NC 87 City Graham State: NC Zip: 27278 Department: <br /> Planning & Inspections Amount: $90.00 per recorded hour Purpose: Transcription of Board Meeting Minutes <br /> Budget Code(s): 10620020-630000 Vendor# 63499 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date February 1, 2017 <br /> Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> r /'DocuSign¢wed�by: <br /> � <br /> Department Director's Signature Cr i 1/ wI d Date:2/21/2017 <br /> L846D10DA3CFD4C2... <br /> Information Technologies <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 sufficiency of insurance standards, specifications,and requirements: <br /> p DocuSigned'""by: 1111 <br /> Office of Risk Management ((USX (,Orvu X16 Date: 2/21/2017 <br /> \----7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> c---DocuSigned by: <br /> Office of the Chief Financial Officer (71Ata IZI -h Date2/21/2017 <br /> `---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: L <br /> , <br /> E Office of the County Attorney <br /> 6LtA, lebtit vas Date: 2/21/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />