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� I <br /> ORANGE COUNTY - - DEPARTMENT USE ONLY- HARD COPY ONLY <br /> Department <br /> Party/Vendor Name : United Voice of Efland Cheeks Party/Vendor Contact Person: Ms . Elvira Mebane Contact <br /> Phone : (919) 563 -9009 Party/Vendor Address : 117 Richmond Road City Efland State : NC Zip : 27302 <br /> Department : Housing Amount: $89,351 Purpose : Operation of the Efland Cheeks Community Center Budget <br /> Code(s) : 10495020420281 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® <br /> Contract Type : (Check one) New ❑ Renewal ® Amendment ❑ Effective Date August 1 , 2019 Approved by <br /> Board Yes [] No® Agenda Date : <br /> This agreement is approved as to tee i foam a n <br /> � . <br /> Department Director ' s Signature Date : <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 /> I <br /> This agreement is approved for sufficiency of insurance standards, specifications , and requirements : <br /> a Office of Risk Management a Date : j l <br /> Financial Services <br /> This instrument has been premaudited in the er r d by the Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial Officer Date : Z <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney , ( �(,( �a" ijr Date : <br /> Clerk to the Board <br /> Received for record retention : <br /> Office of the Clerk to the Board C'V v Date : <br /> R <br /> apits HmV7� <br /> -- V aA4 S �til <br /> Revised 10/ 17 • <br /> V - ShfxwI ti.�v1PDv <br />