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DocuSign Envelope ID:6CO75522-EF2D-4D65-82DB-OD1DC551A8FA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Rachel Cotterman Party/Vendor Contact Person: same Contact Phone: (919) 593-5297 <br /> Party/Vendor Address: 4720 Silver Apples Road City Hillsborouli State: NC Zip: 27278 Department: DEAPR <br /> Amount: $1,350 Purpose: Historic resources hook documentary and historical research Budget Code(s): 10610020 <br /> 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date October 22, 2018 Approved by Board Yes[] NoZ <br /> Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> QocuSigned by: <br /> Department Director's Signature <br /> 106 V�. SfAJA Date: 10/22/2018 <br /> Bi1CFA1D537A495... <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 Manatement <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer l�US& CbV'ln&6 Date: 10/22/2018 <br /> 7FDCF9176900498... <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 slJ� Date:10/22/2018 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docu5igned by: <br /> Office of the County Attorney � GS NA, Date:10/22/2018 <br /> 328DC480549A4F5.... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersollaorantrecountync.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 10117(Mgr appry A 6/18) 4 <br />