Orange County NC Website
DocuSign Envelope ID: E47D81E7-73C7-4D81-B38C-A55633718062 <br /> ORANGE COUNTY—DEPARTMENT US F'. ONLY <br /> Del)artment <br /> PartyNendor Name: Willie Newton Complete Installation PartyNendor Contact Person: Willie Newton Contact <br /> Phone: 910-690-0944 PartyNendor Address: 403 Grady Rd City Cameron State:NC Zip:28326 Department:AMS <br /> Amount: $1162.91 Purpose; Moto vol Door Budget Codes): 10240320-570000 Vendor # 64689 CN/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date _- Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tech oocuSigned by: t: <br /> I Sao su <br /> Department Director's Signature_ Date: 11/12 12 017 <br /> 9ES8L`A4&CFG4498... —"--------- - -- '-- <br /> Information Technolor-ics <br /> (Applicable only to har•rhvarelsoftwar•e 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 (416 sufficiency t P QocuSigned by: F = specifications,and requirements: <br /> Elusa Office of the Risk Management officer Date: 11/13/2017 <br /> 7FDCF817E804498... <br /> Financial Services <br /> This instrument has been pre-audited in tl Docusigned ay:' ;local Government Budget and Fiscal Control Act: <br /> C� 11/13/2017 <br /> Office of the Chief Financial Officer Date: <br /> ---- 7D4E51S1ACC1469... -- - <br /> Legal Services <br /> This agreement is approved as to le; `--- -""'-'-nc <br /> g pA oocusigned dy; y• <br /> Office of the County Attorney [EAAM33ED&A905 <br /> 6� W P Y s Da te: 11/13/2017 <br /> ... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion la Dollo, d ef,oran eg countync.gov <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 2/17 5 <br />