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ORANGE COUNTY—DEPARTMENT USE ONLY Cg_D /_ ! 50 <br /> Department h 1(J <br /> Party/Vendor Name: Orange Tennis Club, Inc. Party/Vendor Contact Person: Mike Gas ep rino Contact Phone: <br /> (919)151-9751 Party/Vendor Address: 131 Boone Square Street City Hillsborough State: NC Zip: 27278 <br /> Department: DEAPR Amount: $1,500.00 Purpose: Lease Agreement Budget Code(s):N/A Vendor#N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Chec one)New ❑ Renewal <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda D / <br /> f Gtr <S�f° �t yw C <br /> This agreement is approved as to technical form and content OLHac. i1 d. <br /> Department Director's Signature l �"c Date: ? 1 L ' oS <br /> Infor tion Te nolo ies Pr ( f, <br /> A licable only to hardware/so aware purchases or rela services This agreement has been reviewed and is <br /> ( pp Y f p ) <br /> approved as to information technology content and spe fica ' ns: e.�b <br /> Office of the Director of Information Technolo Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of Risk Management 640 ` AO Date: <br /> Financial Services <br /> This instrument has been pre-audited in the er ed the Local Government Budget and Fiscal Control <br /> Act: 7 <br /> Office of the Chief Financial Officer Date: / 13 <br /> Legal Services <br /> This agreement is approved as to legal form ajid su cien y: <br /> Office of the County Attorney J,�, Date: <br /> Clerk to the Board <br /> Received for record retention: �J p <br /> Office of the Clerk to the Board Date: <br />