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DocuSign Envelope ID:8A9250C3-1D27-4BE6-8313-3BDC6F1DEE89 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Todd W. Christensen Party/Vendor Contact Person: Todd W. Christensen Contact Phone: 315- <br /> 409-5356 Party/Vendor Address: 2752 Campus Walk Ave, Apt. 30G City Durham State: NC Zip: 27705 <br /> Department: DEAPR Amount: $2,350.00 Purpose: Prepare written text and related narratives for the History Wall <br /> exhibit at the Cedar Grove Community Center Budget Code(s): 10610020 630000 Vendor # N/A (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date April 5,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature P gal/La Date: 4/6/2017 <br /> � 611CFA1D507A495... <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 /> DocuSigned by: <br /> ''��.�.. <br /> Office of the Risk Management Officer ((USX. (Ofr1Ak & Date: 4/6/2017 <br /> � 7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned y: <br /> Office of the Chief Financial Officer (' Date: 4/7/2017 <br /> � 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> ,',t�,�s <br /> Office of the County Attorney Jbt Mit,v Date: 4/7/2017 <br /> �^ EAA3D33ED8A8465... <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-ihe Board Date: <br /> Revised 2/17 5 <br />