Orange County NC Website
DocuSign Envelope ID:7BA0C202-00A1-4BA8-91 CF-A9EA1BOAF4ED <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Patricia L. Tolbert Party/Vendor Contact Person: Trish Tolbert Contact Phone: 336-524-4505 <br /> Party/Vendor Address: 2900 Shagbark Lane City Graham State: NC Zip: 27253 Department: Health Amount: $5,800 <br /> Purpose: Development coaching on designing and launching fundraiser pipeline for FSA Budget Code(s): 10412020- <br /> 630000-71453 Vendor#64504 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5-22-17 Approved by Board Yes No <br /> Agenda Date: <br /> This agreement is approved as to to 7:41 ' id�co11n�tent: <br /> n uVUt 5/22/2017 <br /> Department Director's Signature Fczrnon�4nF... Date: <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 qPimArietVeYstandards, specifications, and requirements: <br /> aMtS& rbiNu to 5/30/2017 <br /> Office of the Risk Management Officer 7FncF917e800408 Date: <br /> Financial Services <br /> This instrument has been pre-audited in heDrin ti i quired by the Local Government Budget and Fiscal Control Act: <br /> Aniii 5/31/2017 <br /> Office of the Chief Financial Officer, —7D4E5i8!ACC 1,09... <br /> Legal Services <br /> This agreement is approved as t ear Id sufficiency: <br /> '"A 1' Al tl' SG6 5/31/2017 <br /> Office of the County Attorney 07954D525C0F4Fe_. Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 />