Orange County NC Website
DocuSign Envelope ID:3104DB10-5BE2-4447-B27F-DB78763E6E88 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Benjamin Beaton PartyNendor Contact Person: Same Contact Phone: 517-740-6785 <br /> PartyNendor Address: 107 James Helen Ct. City Willow Spring State: NC Zip: 27592 Department: HHR&CD <br /> Amount: $5,000 Purpose; Spanish_Tnterpretation Budget Code(s): There is no code in this document because each <br /> Department pays for expenses out of their budget as services are utilized Vendor # 54063 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No[A Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ <br /> Effective Date 7/1/2016 Approved by Board Yes[]No® Agenda Date: <br /> This agreement is approved as to tel DocuSigned by: <br /> Department Director's Signature Date; 7/18/2016 <br /> A13FC071F9B64E0... -- j <br /> Information Technologies <br /> (Applicable only to hardwar elsof fare purchases or related services)This agreement has been reviewed and is d <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 sufficiene DocuSigned by: •ds,specifications,and requirements: <br /> QUs& � 6 7/18/2016 <br /> Office of the Risk Management Officer 7FDCF017EB0o49s... Date: <br /> Financial Services <br /> L <br /> This instrument has been pre-audited j DocuSigned the Local Government Budget and Fiscal Control Act: <br /> I; <br /> Office of the Chief Financial Officer 7/21/2016 I' <br /> 704E51S1 ACC1409... Date: <br /> I: <br /> Legal Services <br /> This agreement is approved as t DocuSigned ay: [icy: <br /> `JVA;�,mv - 7/21/2016 <br /> Office of the County Attorney 4035CB8304CA4Ae... Date.: <br /> Clerk to the Board <br /> Deceived for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyddCa,oran e yge.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 06116 <br /> k <br />