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DocuSign Envelope ID: D3026196-81CA-46E1-990E-ADBFE77C774A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: 919-357-0480 <br /> Party/Vendor Address: 2451 Sedgefield Drive City Chapel Hill State: NC Zip: 27514 Department: DEAPR- <br /> Recreation Amount: $2250.00 Purpose: Art Summer Camp Instruction Budget Code(s): 10511020 630000 Vendor# <br /> 59263 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 6/20/2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to to. �,€t�r card content: <br /> akitiatAti <br /> Department Director's Signature � � �� � Date: 6/26/2017 <br /> 01A495.. <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 suffrcienc /dd�s „standards, specifications,and requirements: <br /> ((USA. Corti ,t16 6/26/2017 <br /> Office of the Risk Management Office Date: <br /> F F91/-98@d498... <br /> Financial Services <br /> This instrument has been pre-audited i efildfiTINAPEquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 6/26/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t.°=.9° 1glRFdal'id,�ss,l'ufficiency: <br /> b leb�•w 6/27/2017 <br /> Office of the County Attorney ,, ,,,,,,,Sq 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 /> r CDS <br /> s <br />