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DocuSign Envelope ID: B996D568- BB53 -4D36- 8910- 125F432C05E0 <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Cornelio Campos Party/Vendor Contact Person: Contact Phone: 919 - 316 -9158 <br />Party/Vendor Address: 1910 Taylor St. City Durham State: NC Zip: 27703 Department: County Manager <br />Amount: $800 Purpose: Sorgum Cooking Budget Code(s): 34600020 900057 Vendor # 65261 (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 />UocuSigned by: <br />Department Director's Signature l vakmS MJA, Date: 8/22/2018 <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 />DocuSigned by: <br />Office of the Risk Management Officer US46 (,6�6 Date: 8/23/2018 <br />7FDCF917e00498... <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 <br />s/J +w Date: 8/23/2018 <br />7NE5181ACC1469... <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />UocuSigned by; <br />Office of the County Attorney , 66A, P '6 Date: 8/24/2018 <br />EAAM33EMAW5... <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 />