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DocuSign Envelope ID:326B3272-B118-41F7-BCBD-6A0161AB452A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Trena Jones Party/Vendor Contact Person: Trena Jones Contact Phone: 919.451.9420 <br /> Party/Vendor Address: 109 Carden Place,Apartment C City Mebane State:NC Zip: 27302 Department: DEAPR- <br /> Recreation Amount: $6,000.00 Purpose: Canvas Painting Summer Camps Instruction Budget Code(s): 10511020 <br /> 630000 Vendor# 64447 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date June 17,2019 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 11).11 <br /> a�J Sf�G 6/24/2019 <br /> Department Director's SignatureCFA1D507A495.. Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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-- -r�cus9ppn-d-b-y:.`�--'-rds,specifications,and requirements: <br /> LQ►►fib <br /> Office of the Risk Management Officer ��Sa Date: 7/12/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> A 7/12/2019 <br /> Office of the Chief Financial Officer 7D4E51a1ACC1409. Date: <br /> LeEal Services <br /> This agreement is approved as t DocuSigned by: iciency: <br /> ,�b�Un. 7/12/2019 <br /> EA <br /> Office of the County Attorney AM3sEDSAW5.. Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 /> Ds <br /> GS <br /> Revised 12/18 <br /> 8 <br />