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DocuSign Envelope ID:822449AC-8446-4C0B-9FA1-84B94AEA862B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Maile Williams Party/Vendor Contact Person: Maile Williams Contact Phone: 919.732.6133 <br /> ext.20067 Party/Vendor Address: 1505 Mountain View Ct.#B City Hillsborough State: NC Zip: 27278 Department: <br /> Health Amount: $500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor# 62256 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date August 1,2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to c48f If lid content: <br /> UM, U.t,lA t 7/11/2017 <br /> Department Director's Signature F,asa�ces�assaeF Date: <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 q bs�l»av:standards,specifications,and requirements: <br /> lt.Stt CortAVto 7/12/2017 <br /> Office of the Risk Management Office 7F Date: <br /> Financial Services <br /> This instrument has been pre-audited i:04._fl�i`1iP stquired by the Local Government Budget and Fiscal Control Act: <br /> p A" '`°` 7/13/2017 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to Ibliitne1M1ss�ufficiency: <br /> '1' ik t--tt. 1 S(6 7/13/2017 <br /> Office of the County Attorney Date: <br /> 070n4o625c0r4ra... <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 />