Orange County NC Website
Browse       Search
ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Benjamin Beaton Party/Vendor Contact Person: Contact Phone: 517-740-6785 <br /> Party/Vendor Address: 107 James Helen Ct.. City Willow Spring State: NC Zip: 27592 Department: Health <br /> Amount: Purpose: Budget Code(s): Vendor # 59063 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective <br /> Date 10/17/2014 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and c to <br /> Department Director's Signature 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 D (1 <br /> This agreement is approved for sufficiency of insurances standards,specifications,and requirements OCT 1 6 2014 <br /> Office of Risk Management 1 � (� o _ - Date 1 <br /> tall( <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: 11 <br /> Office of the Chief Financial Officer Date: ( b <br /> �lY <br /> Legal Services <br /> This agreement is approved as to legal fo an suffic n y <br /> Office of the County Attorney Date: l "W . <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />