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,� 0 (<�<, <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: Town of Carrboro Party /Vendor Contact Person: Holly Holland Contact Phone: <br />Party/Vendor Address: 301 W Main St City Carrboro State: NC Zip: 27510 partment: Aging Amount: $5,000 <br />Purpose: Senior Lunch Program Budget Code(s): 10430105- 449001 -71086 - dor # 595 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) Renewal M Amendment ❑ <br />Effective Date 7/01/18 Approved by Board Yes[] No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director's Signature _ 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management 0z"l, Date: <br />4f-Z_�� <br />Financial S rvices <br />This instrument has been pre - audited in the nner e ui ed by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer Date: 2� <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />�r <br />Office of the County Attorney Date: l0 IQ l0 /I`b <br />Cleric to the Board <br />Received for record retention: <br />Office of the Clerlc to the Board Date: <br />Revised 10/17 <br />