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DocuSign Envelope ID:OB3CCEF1-607F-4A67-82A4-386187C24CBA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: 919-732-2722 <br /> Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Depallnient: DEAPR-Recreation <br /> Amount: $537.60 Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor # 51178 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 5/2/17 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tecpnikakmdod content: <br /> etkikalA <br /> Department Director's Signature Pa SfA Date: 5/8/2017 <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 sufficienc /dd�S ,:standards, specifications,and requirements: <br /> QUSA COrvA.0'6 5/8/2017 <br /> Office of the Risk Management Office Date: <br /> Faeralt681@8488 <br /> Financial Services <br /> This instrument has been pre audited i �� iequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 5/16/2017 <br /> 7D4E51-8 1 Fcet,14b9... <br /> Legal Services <br /> This agreement is approved as tt -ID..cf6mtdawd sufficiency: <br /> ,aLtA, leblwl' 5/16/2017 <br /> Office of the County Attorney Date: <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 5 <br /> DS <br /> Cs <br />