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DocuSign Envelope ID:F779B82D-01C3-4826-8606-CA75617BC6AA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Naw Paw Paw Hser Party/Vendor Contact Person: Same Contact Phone: 919-904-0735 <br /> Party/Vendor Address: 749 Sehom Circle City Efland State: NC Zip: 27243 Department: HHR&CD Amount: <br /> $15,000 Purpose: Karen & Burmese Interpreter Budget Code(s): There is no code in this document because each <br /> Department pays for expenses out of their budget as services are utilized. Vendor # 57963 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date 7/1/2017 Approved by Board Yes No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature 44 Date: 7/11/2017 <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 /> DocuSiggnedby: <br /> Office of the Risk Management Officer ((US& rbYliuth Date: 7/12/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner re A�gbeyty e Local.Government Budget and Fiscal Control Act: <br /> E Office of the Chief Financial Officer 4„.,. '°'z Date: 7/13/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufysigned by: <br /> Office of the County Attorney a l' ark, S(,6 Date: 7/13/2017 <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(aeorangecountyne,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 />