HomeMy WebLinkAboutR 2016-246-E DEAPR - Stephen H. J. Rankin for historical research for Historic Resources Publication Project DocuSign Envelope ID: 5477C56C-6943-4CF5-9775-A49D31 BD10FE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Stephen H. J. Rankin Party/Vendor Contact Person: Same Contact Phone: 919-308-6057
Party/Vendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR
Amount: $900 Purpose: Historical Research for Historic Resources Publication Project Budget Code(s): 10610020
630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date May 15, 2016 Approved by Board Yes❑ No®
Agenda Date:N/A
This agreement is approved as to technical form and content:
Docusigned by:
Department Director's Signature FvWt, SfaAA,61 Date: 5/10/2016
611 CFM D507A495...
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 insurance standards, specifications,and requirements:
(DocuSigned""by:'��
Qusa. rbvv�c,116 Date: 5/11/2016
Office of the Risk Management Officer _
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
ocuSigne by:
Office of the Chief Financial Officer �° Date: 5/11/2016
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:, �,
Office of the County Attorney 56Z, r6�t� Date: 5/12/2016
EAA3D33EDM8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(&oranQecountync.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