Orange County NC Website
DocuSign Envelope ID:7B66A4C3-1BB1-4695-86A5-FC4AAE79ECOE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919.451.9499 <br /> Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR-Recreation <br /> Amount: $2,268.00 Purpose:Volleyball Instruction Budget Code(s): 10511020 630000 Vendor#62401 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 2/11/2019 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to to DocuSigned by: r -nt: <br /> yJ � �fL 1/24/2019 <br /> Department Director's Signature Date: <br /> 611CFA1D507A495.. <br /> Information Technologies <br /> (Applicable only to hardware/software 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 sufficienc DocuSigned by: As,specifications,and requirements: <br /> Q�ts�' L,QVIn.�{�b 1/25/2019 <br /> Office of the Risk Management Officer 7F❑CF9176900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited ix ` DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> 1/25/2019 <br /> Office of the Chief Financial Officer oasiacc,�as. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: iciency: <br /> 66A, K6kk�S / <br /> Office of the County Attorney . EAA3D33ED8AW5.. Date: 1 25/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll(&oran eg countync. og_v <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 10/17(Mgr appry 5k 6/18) 4 <br /> Ds <br /> GS <br />