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DocuSign Envelope ID: 3491 B2EE-4798-4584-A3BB-8FB478344115 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Contact Phone: (919)451-9499 <br /> Party/Vendor Address: 6908 Kiger Road City Rougemont State: NC Zip: 27572 Department: DEAPR Amount: <br /> $600.00 Purpose: Volleyball Instruction Budget Code(s): 10511020 630000 Vendor # 62401 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date January 2,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> ocuSi ned b <br /> This agreement is approved as to techn' a orm$nd?�ontept: <br /> Department Director's Signature 611CFA1 D507A495... Date 1/5/2015. <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of r iMq&W gjp.dards, specifications, and requirements: <br /> usa, (hm,&b <br /> Office of the Risk Management Officer Date: 1/5/2015 <br /> 7FDCF9176800498_ <br /> Financial Services <br /> This instrument has been pre-audited in th RnnC-igre4ftred by the Local Government Budget and Fiscal Control Act: <br /> ,�tii,�ti 1/5/2015 <br /> Office of the Chief Financial Officer Fss�E�as �444 Date: <br /> Legal Services <br /> This agreement is approved as to le��EAAMKEMA8465 o insa n buffciency: <br /> b vfs 1/5/2015 <br /> Office of the County Attorne3 ... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo. dLC orangecount n�c.gov <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 10/14 4 <br /> DS <br /> D <br />