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DocuSign Envelope ID:8597DCB5-3BOD-4FB6-B902-67F2D2D9B389 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Hope Heverly Party/Vendor Contact Person: Contact Phone: (919)914-4686 <br /> Party/Vendor Address: 4203-1A Hewitt St. City Greensboro State: NC Zip: 27407 Department: DEAPR Amount: <br /> $1000.00 Purpose: Volleyball Camp Instruction Budget Code(s): 10511020 630000 Vendor 4 61793 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date June 1,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic ftui ertbghtent: <br /> 6L T Ufa t u(, 5/8/2015 <br /> Department Director's Signature F LICE A_1=_A4aS_ 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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of' amwg.slapdards,specifications,and requirements: <br /> Q�SA r,6vvte tt0 5/8/2015 <br /> Office of the Risk Management Officer � aeaa Date: <br /> Financial Services <br /> This instrument has been pre-audited in the i ' by the Local Government Budget and Fiscal Control Act: <br /> 7;pvu 5/8/2015 <br /> Office of the Chief Financial Officer ,,, FpAd �T Date: <br /> Legal Services <br /> This agreement is approved as to 1 a�b�is �?�ulfficiency: <br /> Office of the County Attorney JJFAA�� n�AtR�d515 Dates/11/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou go v <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 /> ffRevised 10/14 4 <br />