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DocuSign Envelope ID: EE8ECF16-34C7-4F40-803C-OFDOB65DC10F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Robin B Pipkins Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 704 Terrace View Drive City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: 800 <br /> Purpose: Art class Budget Code(s): 10430120-630000 Vendor# 66590 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 09/20/2020 Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to tec ^�� fi��V'R4�fl�Vffd content: <br /> �1 <br /> Department Director's Signature Date: 9/22/2020 <br /> Information Technolouies <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 sufficiency basl ,tandards,specifications,and requirements: <br /> Office of the Risk Management OfficerQUSa fb�b Date: 9/23/2020 <br /> Financial Services <br /> This instrument has been pre-audited in&Wmfter1ftquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 0 Date:9/25/2020 <br /> Hi I eel 199 <br /> Legal Services <br /> This agreement is approved as to a&cfoami sufficiency: <br /> Office of the County Attorney I 4k*-q�� Date: 9/25/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(a)oran eg countync. og_v <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(Mgr appry 5k 6/18) 4 <br />