HomeMy WebLinkAboutR 2016-128-E DEAPR - Wade Heverly for volleyball instruction DocuSign Envelope ID: 1567BE12-1B7B-4ADA-A70E-FAC9646EB33F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: (919)451-9499
Party/Vendor Address: 1117 Ranger Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount:
$600.00 Purpose: Volleyball Instruction Budget Code(s): 10511020 630000 Vendor # 62401 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date January 13,2016 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical f imoutent:
a Sfat"A 1/22/2016
Department Director's Signature Date:
Information Technolosies
(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 insur 179s,6"s �ehs ;specifications,and requirements:
r,Orv�,c,�16 1/25/2016
Office of the Risk Management Officer �,�,9„0A� Date:
Financial Services
This instrument has been pre-audited in the manner regored the Local Government Budget and Fiscal Control Act:
l� 1/27/2016
Office of the Chief Financial Officer ... Date:
Legal Services
This agreement is approved as to legal aaad Saa£f fiency:
I�ti�v¢s /
Office of the County Attorney Date: 1 29/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 1/16 4
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