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DocuSign Envelope ID:4BA5F256-6AB5-4D7D-8668-A03F8A7CEAA9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Herndon Restaurant Equipment Co, Inc PartyNendor Contact Person: Becky Herndon Contact <br /> Phone: 919-477-6058 Party/Vendor Address: 4310 N Roxboro St City Durham State: NC Zip: 27704 Department: <br /> AMS Amount: 628.88 Purpose:Animal Services Freezer repair Budget Code(s): 10244320-570000 Vendor#52106 <br /> (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New ❑ Renewal <br /> ❑ Amendment ❑ Effective Date 10/29/2018 Approved by Board Yes(]No❑ Agenda Date:. <br /> This agreement is approved as to technical <br /> pyo., <br /> Department Director's Signature _ _ Date:10/31/2018_ <br /> 9EWA46CF64498... <br /> Information Technologies <br /> (Applicable only to hat-chvarelsoftwai•e pitr•chases 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 sufficiency of [n �® smlerds,specifications,and requirements: <br /> QuSA. (bVlut fb 10/31/2018 <br /> Office of the Risk Management Officer 7FPGF4 -76800498... — -- Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner r 13A1 9byat4e Local Government Budget and Fiscal Control Act: <br /> 7 '�°'�"al. Date: 10/31/2018 <br /> Office of the Chief Financial Officer _ <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal `ur` 4°fflRi9flIM)biency: <br /> Jb r4bGv� 11/1/2018 <br /> Office of the County Attorney __EAA0D33ED8AS465 Date; <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singei-soll@oi-angecountync.gov <br /> oi-angecountync.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 3k 6118) 4 <br />