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DocuSign Envelope ID:A28B0035-9968-4AAA-867E-692D5BEE42A5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Antonio Aguilar Party/Vendor Contact Person: Antonio Aguilar Contact Phone: 336-263-0050 <br /> Party/Vendor Address: 498 Stonewall Drive City Mebane State: NC Zip: 27302 Department: DEAPR Amount: <br /> $1.200 Purpose: Lacrosse Summer Camp Budget Code(s): 10511020 630000 Vendor# (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 7/23/17 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to to � ontent: <br /> uct 7/17/2017 <br /> Department Director's Signature 611CFA1D507A495... 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 '4fts eeYstandards, specifications,and requirements: <br /> Qttsa Corti ,tl6 7/17/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> DocuSi ned b <br /> This instrument has been pre-audited i the manger cNuired by the Local Government Budget and Fiscal Control Act: <br /> ,Z 7/17/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC14o9... Date: <br /> Legal Services <br /> This agreement is approved as t e b1 i1 d Sufficiency: <br /> Office of the County Attorney Date: 7/17/2017 <br /> County y EAA3D33ED8A8465... <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 />