Orange County NC Website
DocuSign Envelope ID:01947D7C-341 B-4076-90FA-8AD964EB53C8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Laura Casey Party/Vendor Contact Person: Laura Casey Contact Phone: 919-357-0480 <br /> Party/Vendor Address: 2451 Sedgefield Drive City Chapel Hill State: NC Zip: 27514 Department: DEAPR- <br /> Recreation Amount: $5873.00 Purpose: Art instruction Budget Code(s): 10511020 630000 Vendor 4 59863 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date 8/1/15 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to to l°� 1MWftd content: <br /> aunt Ufa to 8/25/2015 <br /> Department Director's Signature r�°,nsn7AAQ m 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 sufficient i)insm :''standards,specifications,and requirements: <br /> Qusa (hm,&b 8/25/2015 <br /> Office of the Risk Management Office .1EnrFO L7A80DA98._. Date: <br /> Financial Services <br /> This instrument has been pre-audited i cP?ff Wq- uired by the Local Government Budget and Fiscal Control Act: <br /> a�, bin, <br /> Office of EP_,,,aF-FC9-CEABA2R the Chief Financial Officer __ Date: 8/25/2015 <br /> Legal Services <br /> This agreement is approved as t e Y�J�f'f A-d sufficiency: <br /> 6 1°e��vfs <br /> Office of the County Attorney FAARO33FDRAR4R5 Date: 8/25/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecoun ne.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 /> DS <br /> D <br />