Orange County NC Website
DocuSign Envelope ID: F6A3E96E-8173-4AFA-B837-C9464E913961 <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br /> hereunder set their hands and seal,all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> DocuSigned by: <br /> y¢DocuSigned by: <br /> By: (J6WAk, C1A�'�'AA YS�.P,.� By: ` aVle� �VcwS <br /> -- 0CD7009FE29B400... <br /> County OG379946755E477... <br /> David Evans <br /> Printed Name and Title <br /> I <br /> I <br /> i <br /> l <br /> Revised 10117 <br /> 7 <br />