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DocuSign Envelope ID:2DOFC04D-D6BB-4685-9708-CEAD5A2FBOCC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Ruth Merrick Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 215 S Hillsborough Avenue City Hillsborough State: NC Zip: 27278 Department: Aging Amount: <br /> 1200.00 Purpose: CBS-Pottery Instructor Budget Code(s): 10430120-629000 Vendor#58822 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date Sept 12,2020 Approved by 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 pr' o t"dbn of the agreement: <br /> ^aln,iu, "r�lc,v <br /> / <br /> Department Director's Signature J Date: 8 26/2020 <br /> Agreements for emergency services or repair are not subject to the above 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 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 eu&w g(�,standards, specifications,and requirements: <br /> 9US& (hvv,t 6 8/27/2020 <br /> Office of the Risk Management Officer ee Date: <br /> Financial Services <br /> This instrument has been pre-audited i We0ftquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer eq. Date:9/2/2020 <br /> Legal Services <br /> This agreement is approved as to 4alr pit sufficiency: <br /> Office of the County Attorney _44, �'1 b Date: 9/3/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 /> Revised 07/20 4 <br />