Orange County NC Website
aol�--fig <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/Vendor Name: Katherine Moorehead Party/Vendor Contact Person: Contact Phone: <br /> Party/Vendor Address: 204 Oak Ave. City Carrboro State: NC Zip: 27510 Department: Aging Amount: $5,000.00 <br /> Purpose: Tap Class Budget Code(s): 10430120-629000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 08/01/14 Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature . .f' Date: <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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> JUL 2 9 2014 <br /> Office of Risk Management Date: <br /> � �: (� <br /> 7 L30 <br /> By <br /> Financial Services <br /> This instrument has been pre-audited in the m/n�ne�r required by e Lo al Government Budget anl Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: ? <br /> 1130 <br /> Legal Services <br /> This agreement is approved as to legal f a sufficiency: <br /> Office of the County Attorney Date: <br /> a <br /> Revised 7/14 4 <br />