Orange County NC Website
Browse       Search
IN WITNESS WHEREOF, this Agreement has been executed, in duplicate, the day and year <br /> heretofore set out, on the part of the Department and the County by authority duly given. <br /> L.S. ATTEST: <br /> COUNTY O HAM <br /> BY:_� �/ {�4, 1 <br /> BY: <br /> TITLE: -� �- TITLE: �� ,�i <br /> DATE: - <br /> N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State <br /> Employee of any gift from anyone with a contract with the State, or from an <br /> person do <br /> business with the State. By execution of any response in this procurement Youat est for you entire <br /> organization and its employees or agents, that you are not aware that any such gift has been offered, <br /> accepted, or promised by any employees of your organization. <br /> Approved by the local governing body of the County of Durham as attested to by the signature of <br /> Clerk of said governing body on Ga 8 I S <br /> (Date) <br /> The instrument has been pre-audited in the manner <br /> C'OUNT�' required by the Local Government Budget a id <br /> ••N•rrrrMrr <br /> i rr '•r r <br /> Fiscal Control Act. <br /> a : <br /> (FINANCE OF CER) <br /> . o <br /> ~�'•••••••••''� � Federal Tax Identification Number <br /> Remittance Address: <br /> County of Durham Aftr+: [ve_,,,iy c <br /> :ZGU Easf ��,ii S�- <br /> 3uE-hum NC r717'70l <br /> DEPARTMENT OF TRANSPORTATION <br /> BY: <br /> (CHIEF ENGINEER) <br /> DATE: <br /> APPROVED BY BOARD OF TRANSPORTATION ITEM O: <br /> (DATE) <br /> Agreement ID #5648 3 <br />