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DocuSign Envelope ID: 6831 B669- CE5F -4F60- 8623- 69D75D055187 <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Vickie Jeffries Rogers Party/Vendor Contact Person: Contact Phone: 336 - 684 -6270 <br />Party/Vendor Address: 1108 Noah Rd. City Graham State: NC Zip: 27253 Department: County Manager <br />Amount: $350 Purpose: Pine Needle Baskets Budget Code(s): 34600020 900057 Vendor # 65259 (N /A if new <br />vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br />Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />,DocuSigned by: <br />Department Director's Signature l Va�S Ayttt Date: 8/21/2018 <br />0A3E81B12B364B4... <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 />WcuSignted by: <br />Office of the Risk Management Officer QUSX CbQ 6 Date: 8/22/2018 <br />7FDCF9176800458... <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br />DocuSigned by: <br />Office of the Chief Financial Officer �� _ Date: 8/22/2018 <br />7D4E5181ACC1469... <br />Legal Services <br />This agreement is approved as to legal form and sufficiencv: <br />DocuSigned by: <br />Office of the County Attorney 58LJA, Pk'6 Date: 8/23/2018 <br />EAA3033EM8AW5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollgorangecountync.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 <br />LF2018 v.1. <br />7 <br />Date: <br />