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DocuSign Envelope ID:83528327-7972-4E21-927F-5B497DEBB348 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Roger Stancil Contact Phone: 919-968- <br /> 2743 Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514 <br /> Department: N/A Amount: 163,750.00 Purpose: lnterlocal Agreement Budget Code(s): Vendor#64 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New❑ Renewal <br /> Amendment ❑ Effective Date 1/1/17 Approved by Board Yes No Agenda Date: 1/24/17 <br /> This agreement is approved as to tec a4°f5tIVI content: <br /> SZcvc g4.444.1ty 3 10/ /2017 <br /> Department Director's Signature Date: <br /> 3,713B4ECAC 1 BCC 0... <br /> Legal Services <br /> This agreement is approved as to legal form a . ° cityn€ Y: <br /> ket-Q* u"P1J1 3/10/2017 <br /> Office of the Town of Chapel H. 44 gn'•y: <br /> 400 Date: <br /> , <br /> -..�•BF0:r1 . <br /> oLIA. rbltxts 3/10/2017 <br /> Office of the County Attorney Date: <br /> €nk31 33 EBSXC&,t65... <br /> Clerk to the Board <br /> Received copy for record retention: <br /> Office of the Clerk to the Board <br /> Office of the Town of Chapel Hill Clerk <br /> Revised 6/16 <br />