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DocuSign Envelope ID:064412EF-AC39-4D55-8ED9-64586766560C <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Depart><trxent <br /> Party/Vendor Name: Stephen J. 11.Rankin Party/Vendor Contact Person: Stepben J. H.Rankin Contact Phone: 919 <br /> 308-6057 PartyNendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department: <br /> DEAPR. Amount: $800.00 Purpose: Provide historical research services for the History Wall exhibit at the Cedar <br /> Grove Community Center Budget Code(s): 10610020 630000 Vendor# 63808 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New N Renewal ❑ Amendment ❑ Effective Date <br /> March 28,2017 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 Paw, SfC Date: 3/29/2017 <br /> 611 CFA1 D597A495.-. <br /> Information Technologies <br /> (Applicable only to hard>varelsoftware 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 Mana-zemaeant <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSiggned by: <br /> �Office of the Risk Management Officer U50. CbKWA6 Date: 3/29/2017_ _ <br /> 7FDCF917E800498.-. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 3/29/2017 <br /> 7NE5181ACC1409.-. <br /> L al Services <br /> This agreement is approved as to legal forth and sufficiency: <br /> UocuSigned by: <br /> Office of the County Attorney , 61LW K � ` _------ —Date: 4/3/2017 <br /> EAMMaEMAE465 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydOorangecountync.eov <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 2117 5 <br />