HomeMy WebLinkAboutR 2017-007-E DEAPR - Jason Zwilling for capoeira instruction DocuSign Envelope ID:33BFD31A-E737-40B5-BF7E-75FBB1B8AFAD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Jason Zwilling Party/Vendor Contact Person: Jason Zwilling Contact Phone: 917-790-9685
Party/Vendor Address: 2406 Uphill Court City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount:
1.417.50 Purpose: Capoeira Instruction Budget Code(s): 10511020-630000 Vendor # n/a (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 1/1/2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to Tr prd content:
'lq 1/6/2017
Department Director's Signature 611CFA1D507A495... 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 sufficient /m u r� acystandards, specifications,and requirements:
QUSA. COVIA.06 1/8/2017
Office of the Risk Management Officer 7F Date:
Financial Services
This instrument has been pre-audited i eD(Iii11V f it by the Local Government Budget and Fiscal Control Act:
1/11/2017
Office of the Chief Financial Officer Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as tt -fl•cf8igtridattid�s,l'ufficiency:
b leb�•w 1/11/2017
Office of the County Attorney ,, ,,,,,,,,Sq Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 6/16 5
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