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DocuSign Envelope ID:65368034-CB64-4B11-834E-02A1309289FB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Margaret Lwai Thaw Toe(F/K/A-Mu Thung Kyi) Party/Vendor Contact Person: Same Contact <br /> Phone: 919-685-7847 Party/Vendor Address: 611 Dupree Street City Durham State: NC Zip: 27701 Department: <br /> HHR&CD Amount: $15,000 Purpose: Karen & Burmese Interpreter Budget Code(s): There is no code in this <br /> document because each Department pays for expenses out of their budget as services are utilized. Vendor # 61489 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New❑ Renewal <br /> ® Amendment ❑ Effective Date 7/1/2017 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> i.--°DocuSigned by: <br /> Department Director's Signature .r ,. Date: 7/10/2017 <br /> `---4035CB8304CA4A9... <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 IDocuSigned""by:'�� <br /> QUSA rwt t 7/12/2017 <br /> Office of the Risk Management Officer � Date: <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required odcuslgn a Local Government Budget and Fiscal Control Act: <br /> i <br /> Office of the Chief Financial Officer 7/13/2017 <br /> �.e� `�°n'�,Gla°,z Date: <br /> L---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney a f L so Date: 7/13/2017 <br /> '-079A4D525C0F4 F8... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd a,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 /> 8 • <br /> Revised 06/16 <br />