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DocuSign Envelope ID: 3E4B4B91- 8AA8 -41 OB- 8584- 11AAECCBC787 <br />Contract #68 -2034 <br />Medisolutions, Inc. <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Medisolutions, Inc. Parry /Vendor Contact Person: Robin Creason Contact Phone: 336 -329- <br />9060 Party/Vendor Address: 100 N. Church St. , Suite B City: Burlington State: NC Zip: 27217 Department: <br />Social Services Amount: $415.647 Purpose: In -home aides services_ Budget Code(s): 10400220- <br />630000/ 10400220 - 680026 /10432020 - 630100110432020 - 630105 Vendor # N/A (N /A if new vendor) Vendor is <br />a BOCC consultant? Yes E] NoZ Contract Type: (Check one) New E] Renewal ® Amendment ❑ Effective <br />Date July 1._2018 Approved by Board YesE No❑ Agenda Date: May 7, 2013 <br />This agreement is approved as to te{ Docu Sig ned by: <br />N" w6v- <br />Department Director's Signature DocuSigned by: <br />� <br />� iu, bw <br />Department Director's Signature UE962D16F454FA... <br />tent: <br />Information Technoloizies <br />Date: 8/10/2018 <br />8/10/2018 <br />Date: <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 />This agreement is approved for sufficiem aocuSigned by: <br />QU5a (,4�6 <br />Office of the Risk Management Office 7FDCF9176800498... <br />Date: <br />rds, specifications, and requirements: <br />Financial Services <br />Date: 8/3/2018 <br />This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: DocuSigned by: <br />41.4111/1. 8/13/2018 <br />Office of the Chief Financial Officer 704E5181ACC1409... Date: — <br />This agreement is approved as tc oocusigned by: <br />Office of the County Attorney'°v' - <br />4035C68304CA4A�... <br />Le al Services <br />ncy: <br />Clerk to the Board <br />Date: 8/13/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Do] lo d oran ecount nc. ov <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 <br />6 <br />Rev. 6/16 <br />Date: <br />