R 2017-517-E DEAPR - John Pelphrey for tennis instruction

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DocuSign Envelope ID: 692681 E2-1949-4449-817C-7919C04A262F 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: $1.260.00 Purpose: Tennis Instruction Budget Code(s): 10511020 630000 Vendor# 64503 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New Renewal❑ Amendment ❑ Effective Date Approved by Board Yes No Agenda Date: This agreement is approved as to to `q� u�ntent: 9/13/2017 Department Director's Signature 611CFA1D507A495... 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 sufficienc specifications,and requirements: Qisa C6vvt,e +t 9/13/2017 Office of the Risk Management Officer :inalsratoeystandards, Fee�s�6ao9a9s_. Date: Financial Services This instrument has been pre-audited i 7 ptillfiff&PEquired by the Local Government Budget and Fiscal Control Act: 0 Office of the Chief Financial Officer � 9/15/2017 Date: Legal Services This agreement is approved as to e icf 1TIVAId sufficiency: b 1°e�tyfh 9/15/2017 Office of the County Attorney „„, 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