R 2016-128-E DEAPR - Wade Heverly for volleyball instruction

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DocuSign Envelope ID: 1567BE12-1B7B-4ADA-A70E-FAC9646EB33F ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: (919)451-9499 Party/Vendor Address: 1117 Ranger Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $600.00 Purpose: Volleyball Instruction Budget Code(s): 10511020 630000 Vendor # 62401 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date January 13,2016 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to technical f imoutent: a Sfat"A 1/22/2016 Department Director's Signature Date: Information Technolosies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insur 179s,6"s �ehs ;specifications,and requirements: r,Orv�,c,�16 1/25/2016 Office of the Risk Management Officer �,�,9„0A� Date: Financial Services This instrument has been pre-audited in the manner regored the Local Government Budget and Fiscal Control Act: l� 1/27/2016 Office of the Chief Financial Officer ... Date: Legal Services This agreement is approved as to legal aaad Saa£f fiency: I�ti�v¢s / Office of the County Attorney Date: 1 29/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 1/16 4 DS D