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DocuSign Envelope ID: CB307AE5-CBBB-4064-AC95-C3580E86D70B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nelson Alarms. Inc. Party/Vendor Contact Person: Leigh Anne Nelson Contact Phone: 336- <br /> 685-0949 Party/Vendor Address: PO Box 10 City Randleman State: NC Zip: 27317 Department: AMS Amount: <br /> $518.15 Purpose: install wireless received and Panic Devices in Gateway Center Budget Code(s): 10240320-630000 <br /> Vendor# 39886 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date 08/23/2017 Approved by Board Yes No, ❑ Agenda <br /> Date: a v <br /> This agreement is approved as to tec Dfes r4dycontent: <br /> 1e4 npoovinos,, 8/20/2017 <br /> Department Director's Signature Date: <br /> 9E880A46CF64498... <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 ink a g edss"yandards,specifications,and requirements: <br /> Office of the Risk Management Officer a Cart/al-to e tt0 Date: 8/21/2017 <br /> 7FDCF9176800498... <br /> r VDpryS <br /> v <br /> Financial Services <br /> This instrument has been pre-audited in the mare g ' o by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 6147 00..a460.. Date: 8/21/2017 <br /> \--7D4E5181ACC1409_. <br /> Legal Services <br /> This agreement is approved as to legal form Is wA racy: <br /> ,,ttuA, lebttYfS 8/25/2017 <br /> Office of the County Attorney Date: <br /> 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 />