Orange County NC Website
Browse       Search
DocuSign Envelope ID: 1 HOEHA- F8313-41 CE-BF1 1-1 370E9736968 <br />ORANGE COUNTY-DEPARTMENT USE ONLY <br />Department <br />Party /Vendor Name: Jennifer Sugg Party/Vendor Contact Person: Contact Phone: Party /Vendor <br />Address: OP O Box 272 City Bvnum State: NC Zip: 27228 Department: Amount: $980 Purpose: Fit Feet <br />Nurse Budget Code(s): 29430320 - 622000 Vendor # 63091 (N /A if new vendor) Vendor is a BOCC consultant? <br />Yes ❑ No F-1 Contract Type: (Check one) New E Renewal ❑ Amendment E] Effective Date 05120115 Approved <br />by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to tec ' <br />�qAV content: <br />�,�,�, '� 5/18/2015 <br />Department Director's Signature Date: <br />B7E962D1 BF454FA... <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned by: <br />• allsx V '�,d Date: 5/19/215 <br />Office of the Risk Management Officer <br />7FDCF9176800498... <br />Financial Services <br />This instrument has been pre - audited in the manner r aired by the Local Government Budget and Fiscal Control Act: <br />DocuSigned� <br />Office of the Chief Financial Officer FN� L111 b" Date: 5/25/2015 <br />232DFFC2CFA847B... <br />Leal Services <br />This agreement is approved as to legil f xm and sufficiency: <br />acu igne y: <br />Office of the County Attorney[ Date: 5/26/2015 <br />4035CB8304CA4A9... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion 4 Dolloyd(dwm-i ecoujtync. <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 <br />Revised 10114 4 <br />Date: <br />