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DocuSign Envelope ID: 5BB3EA34-CEFE-4A2C-9257-A9D63549D89D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <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 /> $756.00 Purpose: Tennis Instruction Budget Code(s): 10511020 630000 Vendor # 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 24,2016 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techni fxaic bpontent: <br /> Department Director's Signature Date: 9/12/2016 <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 sufficiency aojs*andards, specifications,and requirements: <br /> gusa. rbrwtN 9/12/2016 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in e ifft e"bired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:9j13/2016 <br /> n4ESassar ±nQ <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as t legal for and efficiency: <br /> Office of the County Attorney EAA3D33ED8A8465... Date: 9/15/2016 <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 4 <br /> DS <br /> D <br />