HomeMy WebLinkAboutR 2014-493 Finance - Jerry Passmore - Outside Agency Performance Agreement ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Jerry Passmore Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: PO Box 7870 City Ocean Isle State: NC Zip: 28469 Department: Aging Amount: $5,000.00 Purpose: In
Praise of Age production Budget Code(s): 10430020-630110 Vendor# 62198 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date
09/01/14 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature .f Date:%.<&
Information Technologies
(Applicable only to hardwareIsoftware purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Director of Information Technology Date:
Risk Management FES This agreement is approved for sufficiency of insurance standards,specifications,and requirements: P 9 2014 Office of Risk Management 0 �� D Dat .
Financial Services
This instrument has been pre-audited in the m er required by the Local Government Budget an Fiscal Control Act:
Office of the Chief Financial Officer mi�L1/ ;,,_--Date: q 1 l y
Legal Services
This agreement is approved as to legtoand sufficiency:
Office of the County Attorney Date:
Revised 7/14 4