HomeMy WebLinkAboutR 2015-202-E DEAPR - Hope Heverly for volleyball camp instruction DocuSign Envelope ID:8597DCB5-3BOD-4FB6-B902-67F2D2D9B389
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Hope Heverly Party/Vendor Contact Person: Contact Phone: (919)914-4686
Party/Vendor Address: 4203-1A Hewitt St. City Greensboro State: NC Zip: 27407 Department: DEAPR Amount:
$1000.00 Purpose: Volleyball Camp Instruction Budget Code(s): 10511020 630000 Vendor 4 61793 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date June 1,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic ftui ertbghtent:
6L T Ufa t u(, 5/8/2015
Department Director's Signature F LICE A_1=_A4aS_ Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of' amwg.slapdards,specifications,and requirements:
Q�SA r,6vvte tt0 5/8/2015
Office of the Risk Management Officer � aeaa Date:
Financial Services
This instrument has been pre-audited in the i ' by the Local Government Budget and Fiscal Control Act:
7;pvu 5/8/2015
Office of the Chief Financial Officer ,,, FpAd �T Date:
Legal Services
This agreement is approved as to 1 a�b�is �?�ulfficiency:
Office of the County Attorney JJFAA�� n�AtR�d515 Dates/11/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou go v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
ffRevised 10/14 4