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DocuSign Envelope ID:616020CC-186A-46BC-B3DA-4350DA680BD5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Linda Karcher Party/Vendor Contact Person: Linda Karcher Contact Phone: 919-918-2200 <br /> x25034 Party/Vendor Address: 95 Carson Ct. City Pittsoboro State: NC Zip: 27312 Department: Health Amount: <br /> $500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor # 57568 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date August 1,2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to 8 1 i�d� '�content: <br /> V bV'0 t,c A 9/7/2017 <br /> Department Director's Signature F14Fc2CO 4504 F... 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 'OR atm'l">staa�ndards,specifications,and requirements: <br /> IU SX C,bvvt, to 9/8/2017 <br /> Office of the Risk Management Officer 7Fnrp0176FM4QR Date: <br /> Financial Services <br /> This instrument has been pre-audited in e 4'li i `4 ''quired by the Local Government Budget and Fiscal Control Act: <br /> (71.4.,p ` Hind'`". 9/8/2017 <br /> Office of the Chief Financial Officer 7n4F5151AC 01409 Date: <br /> Legal Services <br /> This agreement is approved as t ej�Pf�i'f�a�ld sufficiency: <br /> a '1' Aunt, -Sto 9/8/2017 <br /> Office of the County Attorney 079A4D525CO , : Date: <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 />