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DocuSign Envelope ID: 656809A2- 3891 -49OF- AFAC- DCEOAACE18E7 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: (919)943-6451 <br />Party/Vendor Address: 3213 Anandale Road City Durham State: NC Zip: 27705 Department: DEAPR- Recreation <br />Amount: $1,344.00 Purpose: Piano instruction and Invidual piano lessons Budget Code(s): 10511020 630000 Vendor <br /># 61078 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br />Renewal ❑ Amendment ❑ Effective Date Sept. 10, 2018 Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to to DocuSigned by: ;nt: <br />pawli 5fol ua 8/24/2018 <br />Department Director's Signature S11cFA1D5o7A495... 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 Date: <br />Risk Management <br />This agreement is approved for sufficienc DocuSigned by: <br />QUS& (,bV'�.t,{f6 <br />Office of the Risk Management Office 7FDCF91768004'98... <br />rds, specifications, and requirements: <br />Financial Services <br />This instrument has been pre- audited ix DocuSigned by: <br />Office of the Chief Financial Officer � �� <br />7NE5181ACC1469... <br />This agreement is approved as t. DocuSigned by: <br />, 66, PkA <br />Office of the County Attorney <br />EAA3033E08A84o"5... <br />Date: 8/25/2018 <br />the Local Government Budget and Fiscal Control Act: <br />Legal Services <br />1ciency: <br />Clerk to the Board <br />Date: 8/25/2018 <br />Date: 8/27/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sign ersollgoran eg countync.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 Date: <br />Revised 10/17 (Mgr appry 5k 6/18) <br />2 <br />DS <br />