Orange County NC Website
DocuSign Envelope ID:77423F01-E4DB-48DC-8F6D-78CD8BD65CE6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Edward Larson Party/Vendor Contact Person: Edward Larson Contact Phone: 919-636-2889 <br /> Party/Vendor Address: 610 Elin Court City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: <br /> $378.00 Purpose: Chess Instruction Budget Code(s): 10511020 630000 Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 4/11/2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to to '�,,.u�old content: <br /> Department Director's Signature � � �� � Date: 2/13/2017 <br /> 611�FA1D567A495... <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 sufficienc /d �,od> estandards, specifications,and requirements: <br /> ((USX ,ff6 2/13/2017 <br /> Office of the Risk Management Officer Date: <br /> Fbe1=9St7681984913 <br /> Financial Services <br /> This instrument has been pre-audited i a11i vequired by the Local Government Budget and Fiscal Control Act: <br /> tE <br /> Office of the Chief Financial Officer Date: 2/15/2017 <br /> 7D4E51-81 Fcet,14b9... <br /> Legal Services <br /> This agreement is approved as tockgag2R...id sufficiency: <br /> Office of the County Attorney ,)b lebk Date: 2/15/2017 <br /> '1/4—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 /> r CDS <br /> s <br />