Orange County NC Website
Browse       Search
9 Revised 01/24 <br />IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder <br />set their hands and seal, all as of the day and year first above written. <br /> <br />ORANGE COUNTY: PROVIDER: <br /> <br />By: <br /> <br />By: <br /> <br />Printed Name and Title <br /> <br />TOWN OF CHAPEL HILL <br /> <br /> <br /> <br />DEPARTMENT HEAD/EXECUTIVE DIRECTOR OR DEPUTY/TOWN MANAGER <br /> <br /> <br />PRINTED NAME & DEPARTMENT <br /> <br />ATTEST BY TOWN CLERK: <br /> <br /> <br /> <br /> <br />TOWN CLERK/DEPUTY TOWN CLERK TOWN SEAL <br /> <br />Town Clerk attests date this the day of 20 . <br /> <br /> <br />Approved as to Form and Authorization <br /> <br /> <br /> <br /> <br />ATTORNEY FOR TOWN <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and <br />Fiscal Control Act. <br /> <br /> <br /> <br /> <br /> <br />FINANCE OFFICER DATE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Docusign Envelope ID: A95AD77D-3FE2-4525-8B82-5AE1F0400C77 <br />Vice-President <br />12/12/2025 <br />James Stumbo <br />12/17/2025 <br />12/18/2025 <br />Jay L Mebane <br />Fire Chief <br />Chapel Hill Fire <br />12/18/2025 <br />12/19/2025 <br />December 25.0019.00