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ORANGF11 CO'UNTY--- ---HARD C!OPY ONLY <br /> rennt <br /> Pirty/Vendor Name: Triank-, iL�(Lil of Governments Party/Wndor C,(�)ntuct Person: MAry)Nn Ti:m Contact <br /> F-111orw: 919-588-2292, Par(y/VenclOr Aid�l u,ss: 4_30_Ejuqi�=or l!LvcL_�S'tq. l City L)ujrram State: NC Zip: 27703 <br /> yDeparhnenl: Aging AmouiW �q"ipose: -ritle 111-1) Health Promotion/Dispase Prevend Budget Code(s): <br /> ;1 ' I ........ ... <br /> 10430105-4,14005 Vendor U W new vendor) Vendor is a BOCC consuftant? Yes [�] NoE] Contract <br /> N. <br /> Type: (Check on New [:] Renewal Amendment 0 Effective Date 07/01/20 17 Approvedi by Board Yes[:] <br /> �, muaJ NoEl Agenda Date: <br /> J <br /> 11"s agreement is approved as to,technicM forni and content: <br /> D :1 -tment Director's Sin gature Date: <br /> ep.i <br /> .111forniation TeelmoloLpies <br /> (API�?Iicwble cannf7,lo I.no-chfives or relaledsei,vicxs)'This agreement has been reviewed and is <br /> approved us to information technology content andspecificalions: <br /> Office of the Chief Inforulation Officer <br /> Risk managemen <br /> This agreement is approved for sufficiency ofinsurance,sftuidards, specifications,and ruquirernents; <br /> Office of Risk Management Date: <br /> Financial Services <br /> This instrument has been pre-audited in the 'ranum eat ired y the Local Government Budget and F'iscal (,lonftol <br /> Act: <br /> Office of the Chieffimincial Offices. ............ Date: <br /> Le ant Services <br /> This agreement is approved as tar legal fort ai l Sufl,cleppy: <br /> Office ofthe County Attorney Date, <br /> Clerk to the Board <br /> Received For record rutenflon: <br /> Office of the Clerk to (lie Board -Dame: <br /> Rev'�sedl 10117 <br />