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DocuSign Envelope ID:05CCB187-B67F-4B4F-A40B-64CFB5AB805E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Melissa Hunter Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 601 Jones Ferry Rd., Apt. B-15 City Carrboro State: NX Zip: 27510 Department: Aging Amount: $3,000 <br /> Purpose: MAP Budget Code(s): 10430020-630120 Vendor # 64458 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5/01/17 <br /> Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> -- <br /> ,- ocu igne by: <br /> Department Director's Signature J6"10-- tilttr Date: <br /> 5/2/2017 <br /> B7E962D1BF454FA... <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 /> r---DocuSigned by: <br /> Office of the Risk Management Officer MS& CbYliuth Date: 5/2/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> -- <br /> , -DocuSigned b : <br /> 6/19/2017 <br /> Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to lbforn aid sufficiency: <br /> ocu igne y: <br /> atAAAA. hark, t e 6/19/2017 <br /> Office of the County Attorney Date: <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 5 <br />