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DocuSign Envelope ID:3F92F0D9-86B4-4CF6-B71A-1 Dl9BEE2CA71 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 919-943-6451 <br /> Party/Vendor Address: 3213 Anandale Road City Durham State: NC Zip: 27705 Department: DEAPR-Recreation <br /> Amount: $4,500 Purpose: Piano and Choral Camps Budget Code(s): 10511020 630000 Vendor#61078 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 5/5/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technig f �1pd content: <br /> Department Director's Signature � � Slta�u� Date: 5/30/2017 <br /> `-611 CFA1 D507A495... <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 w y.standards,specifications,and requirements: <br /> a isa, Cort&c,ltb 5/30/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited i 41,11Yfititqd i quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer �� <br /> C1409� Date: 5/30/2017 <br /> ..,,., ...,. ... <br /> Legal Services <br /> This agreement is approved as to-lagalciebivaalsd sufficiency: <br /> �b �b�t VfS 5/31/2017 <br /> Office of the County Attorney Date: <br /> �EAA3D33eo8A8465... <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 />