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DocuSign Envelope ID: DBBB4E8B-OAD3-4D24-BA70-BF73F4CF88CE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Barry J. Mayo Party/Vendor Contact Person: Renee Holmes Contact Phone: (919)245-2495 <br /> Party/Vendor Address: 5811 McDougle Drive City Fayetteville State: NC Zip: 28304 Department: HHRCD <br /> Amount: $2.000 Purpose: Program Fund Reconciliation Budget Code(s): 32-30-470-4730-20-00-630000-47316 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 3/2/2017 Approved by Board Yes❑ No Agenda <br /> Date: <br /> This agreement is approved as to techni6aug d content: <br /> Department Director's Signature - - ,k` - Date: 3/7/2017 <br /> 4035CB8304CA4A9... <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 sufficienc itostuototy3tandards, specifications,and requirements: <br /> ((USX COVIA,t*& <br /> Office of the Risk Management Officer �FDCF9698049@ Date: 3/7/2017 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer ('1 Date: 3/16/2017 <br /> 7n4F518lACrlan4 <br /> Legal Services <br /> This agreement is approved as to le Lfgovapd sufficiency: <br /> abt,litd. AitArit, lSCO <br /> Office of the County Attorney Date:3/16/2017 <br /> ----079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ 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 /> Revised 2/17 <br /> 9 <br />