HomeMy WebLinkAboutR 2015-327-E DEAPR - U.S. Tae Kwon Do Center, Inc. for tae kwon do instruction DocuSign Envelope ID: EEDCD3FB-CO27-4E00-8COB-02929E8F4COB
ORANGE COUNTY--DEPARTMENT USE ONLY
Department
Party/Vendor Name: U.S. Tae Kwon Do Centel-, Inc. Party/Vendor Contact Person: Steve Kim Contact Phone:
(919)730-3697 Party/Vendor Address: 15201 Rose Garden Lane City Durham State: NC Zip: 27707 Department:
DEAPR Amount: $15690.00 Purpose: Tae Kwon Do Instruction Budget Code(s): 1051 1020 630000 Vendor#
61681 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal ❑ Amendment ❑ Effective Date July 7, 2015 Approved by Board Yes❑ No[] Agenda Date:
This agreement is approved as to technical form °D
Gl�l �fGt,I�t.U� 7/8/2015
Department Director's Signature F,_,rF°1D5 A4 Date:
Information Technologies
(Applicable only to lr(rr'{Ir4'ar•e/sojht,ar•e prrr•chases or•r•elaled ser3�ices)This agreement has been reviewed and is
approvcd as to information tcclmnology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of i Rmu& TWimV ds,speciticatiorms,and requirements:
QUs& �bvvt,e,ttb 7/9/2015
Office of the Risk Management Officer 7FDCF917680049& Date:
Financial Services
This instrument has been pre-audited in the iIp-gnge�rn iAquired by the Local Government Budget and Fiscal Control
Act: M At to D".�bVu
7/9/2015
Office of time Chief Financial Officer 232DFFC2CFA847B... Date:
Legal Services
This agreement is approved as to lega o D}o�aiiansi4�`ic)•ermcy:
�bIA,� 1°e�PS 7/9/2015
Office of the County Attorney EAA3D33ED8A8465... Date:
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion rr Dolloyd a,orangecotllrtync.yov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
DS
Revised 10114
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