Orange County NC Website
DocuSign Envelope ID: B6102BOC-9EA6-4CAB-B6DC-27EODD6DA978 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: James Michael Fisher Party/Vendor Contact Person: James Michal Fisher Contact Phone: 336- <br /> 302-2765 Party/Vendor Address: 1061 Oakmont Drive City Asheboro State: NC Zip: 27516 Department: Library <br /> Amount: $375 Purpose:Promo ram Budget Code(s): 10500120-630000 Vendor 4 41042 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 6/10/15 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to re 'GWi fQ@4:an,�d,.c�o�nttent: <br /> Department Director's Signatu � � �4� Date: <br /> 3E4F015FA55F44D... <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 insurance standards,specifications,and requirements: <br /> CA DocuSigned by: <br /> Office of the Risk Management Of Us& (,bm,&b Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Off celr-'� (44lVbvu Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as tcbl� gl f��n and sufficiency: <br /> Office of the County Attor e)bb� s Date: <br /> EAA3D33EDSA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou 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 /> Revised 10/14 4 <br />