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DocuSign Envelope ID: 070144E9-128B-49A8-AF04-000729A1 E559 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Haymar Kyaw Party/Vendor Contact Person: Same Contact Phone: 919-637-9349 <br /> Party/Vendor Address: 1104 Laurens Way. City Knightdale State: NC Zip: 27545 Department: HHR&CD Amount: <br /> $2,000 Purpose: Burmese Interpreter Budget Code(s): There is no code in this document because each Department <br /> pays for expenses out of their budget as services are utilized. Vendor# 64021 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> 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 <br /> Date: 7/11/2017 <br /> `---4035CB8304CA4A9._ [[I.... <br /> Information Technologies <br /> • <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 r inswanc es w dards,specifications,and requirements: <br /> ((USA COVIA,d 6 7/12/2017 <br /> Office of the Risk Management Officer Date: <br /> �---7FDCF9178800498... <br /> Financial Services E' <br /> This instrument has been pre-audited in the mmnnttj-, i .by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 7/13/2017 <br /> v---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal fot>u anAlgE,4 l?ay: <br /> Auri <br /> Office of the County Attorney (( ' LSCd 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 @ Dolloyd(ivorangecountync.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 />