R 2017-429-E DEAPR - Natasha Tyler for dance instruction

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DocuSign Envelope ID: 31245B03-01 EB-49FD-83C7-1756C118863F ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Natasha Tyler Party/Vendor Contact Person: Natasha Tyler Contact Phone: (347) 987-8244 Party/Vendor Address: 907 Beech Glen Drive City Mebane State: NC Zip: 27302 Department: DEAPR-Recreation Amount: $3360.00 Purpose: Dance 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 9/1/17 Approved by Board Yes III No Agenda Date: This agreement is approved as to to °ac°a' r n�upntent: �{ L 8/28/2017 Department Director's Signature 611CFA10507A495... Date: 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 4PCs e""�ystandards,specifications,and requirements: Risa bvtA''ttLb 8/29/2017 Office of the Risk Management Officer 7FDCF9176800498... Date: Financial Services This instrument has been pre-audited i c°u 1411rril`equired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office � � Date: 8/29/2017 7_D4E5]B]Arr 1400 Legal Services This agreement is approved as t /P sufficiency: b 1°b�tyfh 8/30/2017 Office of the County Attorney Fp,�naaF� 465... 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 r CDS s