R 2017-405-E DEAPR - Edward Larson for chess lessons

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DocuSign Envelope ID: 10A1 F8FF-DD77-42D6-9A2C-80DF07E31 E7B ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Edward Larson Party/Vendor Contact Person: Edward Larson Contact Phone: 919-636-2889 Party/Vendor Address: 610 Elin Court City Hillsborugh State: NC Zip: 27278 Department: DEAPR Amount: $980.00 Purpose: Chess Lessons Budget Code(s): 10511020 630000 Vendor#64469 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 9/1/2017 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to tec c1 ii cia d content: 6a SfA 8/23/2017 Department Director's Signature �� Date:1� � A49s... 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 sufficient I' ® :standards, specifications,and requirements: QUSA. cort&t t 8/23/2017 Office of the Risk Management Office 7 � Date: Financial Services 7 This instrument has been pre-audited i ltquired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer � O Date: 8/23/2017 711/1 E51 81 ACC 1 M9... Legal Services This agreement is approved as tt ,-!'.'cibigtridatild�s,l'ufficiency: b leb�•w 8/25/2017 Office of the County Attorney ,, ,,,,,,SAS Date: 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 CS