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DocuSign Envelope ID: F873FAOB-EO13-47AO-BO39-586A4CCBDCE8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Arlene Bynum- Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 4816 Barbee Rd City Durham State: NC Zip: 27713 Department: Aging Amount: $15,000 Purpose: <br /> Wellness classes Budget Code(s): 10430120-630000-71085 Vendor# 64460 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date 7/01/18 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to tecD <br /> oocusigne�dFbby:: tent: <br /> Aln,ilt, l b_ 10/4/2019 <br /> Department Director's Signature Date: <br /> @7E96261@F454FA.. <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, -oocuSigned_by: <br /> . •ds,specifications,and requirements: <br /> ��Sa �,DVln.fr�b 10/7/2019 <br /> Office of the Risk Management Officer_ 7F❑CF9176800498. Date: <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 /> Office of the Chief Financial Officer A . Date: 10/8/2019 <br /> 704E51S1ACC1400. <br /> Legal Services <br /> This agreement is approved as to OocuSigned ay: icy: <br /> Office of the County Attorney � ` O'CA4Ae Date: 10/8/2019 <br /> 4035C@8304 A4A <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg solIkoran eg countync•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 10/17 <br /> 8 <br />