R 2017-143-E DEAPR - Wade Heverly for volleyball summer camp

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DocuSign Envelope ID:5F89329B-DF63-4B50-9AC5-438B3D9FD04D ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919-451-9499 Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $2,400 Purpose: Volleyball Summer Camp Budget Code(s): 10511020 630000 Vendor # 62401 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 6/18/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to to h iratlifigga wind content: Department Director's Signatur Sfa�u� Date: 4/27/2017 611 CFA1 D507A495... 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 sufficiency of §}/'�'"" ,sta�andards,specifications, and requirements: U.�SC. Cora& tb 4/27/2017 Office of the Risk Management Officer Date: �7FDCF9176e00498... Financial Services This instrument has been pre-audited i ediratinarbryequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office o �� Date: 4/27/2017 7D4E5181ACC1409... Legal Services This agreement is approved as to„tvgabctattilieas,d sufficiency: joLIA. ratiuts 4/28/2017 Office of the County Attorney Date: EAA3D33ED8A8465... 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 DS