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DocuSign Envelope ID:2CFB83FB-7405-491 D-B5AF-3C7DD838FAC3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919-451-9499 <br /> Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: <br /> $600.00 Purpose: Volleyball Instruction Budget Code(s): 10511020 630000 Vendor# 62401 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 2/10/17 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to techniso lsVjund content: <br /> Department Director's Signatur Sfl, Date: 1/20/2017 <br /> 611CFA1D507A495... <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 sufficiency ofDij argw standards, specifications,and requirements: <br /> � ocu Igoe''""by:''111i <br /> Office of the Risk Management Officer <br /> ((USX �,Orv�16 Date: 1/22/2017 <br /> '---7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited inctlieovaailim Kquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 1/24/2017 <br /> `---7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to , jRbpd sufficiency: <br /> Office of the County Attorney jb �� Date:1/24/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 /> Cs <br />