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DocuSign Envelope ID:96EAAE81-6F3C-4C19-90BO-81AAOF1D1360 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Party/Vendor Name: Margaret Lwai Thaw Toe FIK/A-Mu Thun K i Party/Vendor Contact Person: Same Contact <br /> Phone: 919-685-7847 Party/Vendor Address: 1621 US HWY 70A E. <br /> City Hillsboro State: NC Zip: 27278 Department: HR&R Amount: $4,999 Purpose: Karen and Burmese <br /> Interpretation Budget Code(s): There is no code in this document because each De artment pays for expenses out of <br /> their budget as services are utilized Vendor# 61489 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2019 Approved by <br /> Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DacuSigned by: <br /> Department Director's Signature FJei,-.— Date: 7/12/2019 <br /> Agreements for emergency services or repair ar. .. 4035CB8304CA4A9_ ---ae affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information TechnoloEies <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 Mana enient <br /> This agreement is approved for sufficiency of i—iranrP ctanr1Prei z cn—ifications,and requirements: <br /> DacuSigned by: <br /> � <br /> Office of the Risk Management Officer ASO, 6V' 6 Date: 7/12/2019 <br /> — _ <br /> ' 7FDCF9176800498 <br /> Financial Services <br /> This instrument has been pre-audited in the ma,,,,a6aCu Sig ne dbv•■'�'Q r^�fli Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer S'aw� 06t7t.A.t.bou Date: 7/15/2019 <br /> 7D4E5181ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form are o cuSigned~by: {� <br /> 6.AVAIL�, Aka Ai, I (h 7/15/2019 <br /> Office of the County Attorney _Date: <br /> 079A4�525C0F4FB. <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 /> g <br /> Revised 06/19 <br />