Orange County NC Website
DocuSign Envelope ID:269163F8-B12A-4FF0-8F2F-4078CF039BC0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/'Vendor Name: Pace Adams Party/Vendor Contact Person: Leslie Tubridv Contact Phone: 704--664-4907 <br /> Party/Vendor Address: 118 Poplar Dr City Mooresville State: NC Zip: 28117 Department: AMS Amount: <br /> 1250.00 Purpose: Animal Services Controls Budget Code(s): 10240320-570000 Vendor # 60137 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date 6/4/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tech bocu5igned by: t; <br /> Department D Signature [irector's g`E$CA46CF Dale: <br /> 6/5/2018 <br /> Information Technologies <br /> (Applicable only to harchvar•elsoftware purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for suflicienc• 'W' cuSlgned by:' ' ds,specifications,and requirements: <br /> �usx Cb�' 6 <br /> Office of the Risk Management Officer _ hate: <br /> 6/5/2018 <br /> - 7FDCF917E804498.-. -- <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> Office of the Chief Financial Officer � 011../� Date: 6/8/2018 <br /> 7D4E5181ACC1409_. <br /> Legal Services <br /> This agreement is approved as to- Docusigned by: iency: <br /> af�, �a�rrv�s <br /> Office of the County Attorney �EAA.3D33ED$A84lfs- D'ate6/8/2018 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @oraaggcountync.goy <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10117 <br /> 8 <br />