Orange County NC Website
DocuSign Envelope ID:AA9ED3D0-4AF7-4957-B3BB-2DD06D18A7C9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Darroll A. Brown Party/Vendor Contact Person: Contact Phone: (919)740-2693 <br /> Party/Vendor Address: 113 Tuscarora Drive City Hillsborough State:NC Zip: 27278 Department: DEAPR Amount: <br /> $1260.00 Purpose: Tennis Instruction Budget Code(s): 10511020 630000 Vendor 4 61085 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date August 15,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> D �Lten <br /> This agreement is approved as to technic[TRT <br /> Department Director's Signature 611CFA1D507A495... Date. 9/25/2015 <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 sufficiencnFrDei�9 Wswdaa%,standards,specifications,and requirements: <br /> 9/25/2015 <br /> Office of the Risk Management Officer ae6a4 Date: <br /> Financial Services <br /> DocuSigned by: . <br /> This instrument has been pre-audited in r�232DFFC2CFA84713 ma n rred by the Local Government Budget and Fiscal Control Act: <br /> V#�UU�� 9/25/2015 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> uSigned b <br /> This agreement is approved as to eg bj orm,�r}c sq�ficiency: <br /> u.h F��t�'1 9/25/2015 <br /> Office of the County Attorney EAA3D33ED8A8465... Date: <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 DocuSigned by: <br /> IS �6vsa. <br /> C666DA5C99F7480... <br />