R 2017-131-E DEAPR - John Pelphrey for tennis instruction

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DocuSign Envelope ID:3933B2CD-9AEB-4648-90BD-C494195CA355 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: John Pelphrey Party/Vendor Contact Person: John Pelphrey Contact Phone: 919-357-8375 Party/Vendor Address: 421 Saint Mary's Road City Hillsborough State: NC Zip: 27278 Department: DEAPR- Recreation Amount: $630.00 Purpose: Tennis Instruction Budget Code(s): 10511020 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 4/4/2017 Approved by Board Yes❑No Agenda Date: This agreement is approved as to to balufc and content: Department Director's Signature � � �� Date:4/3/2017 611C.FA145U/A495... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiencQfm ,:standards, specifications,and requirements: QUSA COMA. t16 4/4/2017 Office of the Risk Management Officer 1/4.--- Date: Financial Services This instrument has been pre-audited i ulccequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office r1"% 4-1.1-0- Date: 4/7/2017 7D4E5181ACC1409... Legal Services This agreement is approved as t ^ � w xd sufficiency: LOLtA, lebltvl' 4/7/2017 Office of the County Attorney Date: EAA3D33 B8k8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5 r CDS s