HomeMy WebLinkAboutR 2015-209-E DEAPR - U.S. Tae Kwon Do Center, Inc. for tae kwon do instruction DocuSign Envelope ID:210FB50F-D15E-4627-BB63-FOBBF5AA7B2F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: U.S. Tae Kwon Do Center, Inc. PartyNendor Contact Person: Steve Kim Contact Phone:
(919)730-3697 PartyNendor Address: 15201 Rose Garden Lane City Durham State: NC Zip: 27707 Department:
DEAPR Amount: $4797.00 Purpose: Tae Kwon Do Instruction Budget Code(s): 10511020 630000 Vendor# 61681
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date Apt-it 28,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to teclrrtic a el��s7tent:
Lt�
Department Director's f-Alt)t Date; 5/4/2015
Information Technologies
(Applicahle only to hardtt,are/sq/Iii,ar'e purchases or relale(l services)This agreement has been reviewed and is
approved as to information tecluiology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of in 77FDCF9176800498...Wk'' RtiEtht'rds specifications,and requirements:
Us& M 5/11/2015
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the tsiegsrggaiiw-d by the local Government Budget and Fiscal Control Act:
r A tL to D""`bvu 5/12/2015
Office of the Chief Financial Officer Date:
232DFFC2CFA8478...
Legal Services
This agreement is approved as to I a^�¢fYr�' � Sciency:
J 5/12/2015
Office of the County Attorney- EAA3D33E�8A8465 Date:
Clerk to the Board
Received for record retention:
All Docusign contracts mist be copied to Donna Lloyd upon completion fir Dolloyd c,orangccotuiityig.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 16/14
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