Orange County NC Website
DocuSign Envelope ID: 599113A5-80EC-4043-85D4-E41CA35E8980 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 919-943-6451 <br /> Party/Vendor Address: 3213 Anandale Road City Durham State: NC Zip: 27705 Department: DEAPR-Recreation <br /> Amount: $4.411.00 Purpose: Piano and choral instruction Budget Code(s): 10511020 630000 Vendor#61078 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 8/31/16 Approved by Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to teTrl�� c Wd content: <br /> Department Director's Signature f�� Da te: 8/31/2016 <br /> FA1 D507A495... <br /> Information Technolosies <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 of�ion�agan,Y:standards, specifications,and requirements: <br /> Office of the Risk Management Office Q�SA (,6�6 Date: 8/31/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited i �6F.quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer �" Date: 8/31/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t & Wd sufficiency: <br /> 61 u�, I�ti�v¢s / <br /> Office of the County Attorney Date: 8 31/2016 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov <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 6/16 5 <br /> DS <br /> D <br />