Orange County NC Website
DocuSign Envelope ID: BA090480-FC7C-4753-AEF2-19BCB43C5FFB <br /> IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have <br /> hereunder set their hands and seal, all as of the day and year first above written. <br /> ORANGE COUNTY: PROVIDER: <br /> DOCUSigned by: Dom Signed by: <br /> By: 661n,&A, f"MKALYS� By: <br /> County Ma 0637994B755E477... 5AFBE2F17976415... <br /> Dr. A. Wesley Burks, MD <br /> Dean,UNC School of Medicine <br /> Vice Chancellor for Medical Affairs <br /> Printed Name and Title <br /> Revised 11/19 <br /> 7 <br />