Orange County NC Website
DocuSign Envelope ID:502E262B-12B8-4E26-A3B9-A519026ACBC6 <br /> Contract Number 00042091 /Page 5 of 26 <br /> In Witness Whereof,the Contractor and the Division have executed this contract in duplicate originals,with <br /> one original being retained by each party. <br /> Orange County Department of Social Services <br /> FDocuSigned by: <br /> 'VavuS ' I� 4/28/2021 <br /> Signature Date <br /> Travis Myren Deputy Manager <br /> Printed Name Title <br /> WITNESS <br /> DocuSigned by: <br /> ht'ussa awsbo, 4/28/2021 <br /> L�,8AA2RQCF-7j- <br /> Signature Date <br /> Melissa Allison Business Officer I <br /> Printed Name Title <br /> Division of Public Health, North Carolina Department of Health and Human Services <br /> Signature Date <br /> Mario T. Benton Assistant Secretary for Public Health <br /> Printed Name Title <br /> NCDHHS GCT1007(Contract)(General)(Rev. 11.01.15) <br />