2017-219-E Aging - Melissa Hunter for MAP intern

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DocuSign Envelope ID:05CCB187-B67F-4B4F-A40B-64CFB5AB805E ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Melissa Hunter Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 601 Jones Ferry Rd., Apt. B-15 City Carrboro State: NX Zip: 27510 Department: Aging Amount: $3,000 Purpose: MAP Budget Code(s): 10430020-630120 Vendor # 64458 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5/01/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: -- ,- ocu igne by: Department Director's Signature J6"10-- tilttr Date: 5/2/2017 B7E962D1BF454FA... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: r---DocuSigned by: Office of the Risk Management Officer MS& CbYliuth Date: 5/2/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: -- , -DocuSigned b : 6/19/2017 Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409... Legal Services This agreement is approved as to lbforn aid sufficiency: ocu igne y: atAAAA. hark, t e 6/19/2017 Office of the County Attorney Date: 079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5