HomeMy WebLinkAboutR 2017-113-E Housing - Barry J. Mayo for program fund reconciliation DocuSign Envelope ID: DBBB4E8B-OAD3-4D24-BA70-BF73F4CF88CE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Barry J. Mayo Party/Vendor Contact Person: Renee Holmes Contact Phone: (919)245-2495
Party/Vendor Address: 5811 McDougle Drive City Fayetteville State: NC Zip: 28304 Department: HHRCD
Amount: $2.000 Purpose: Program Fund Reconciliation Budget Code(s): 32-30-470-4730-20-00-630000-47316
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 3/2/2017 Approved by Board Yes❑ No Agenda
Date:
This agreement is approved as to techni6aug d content:
Department Director's Signature - - ,k` - Date: 3/7/2017
4035CB8304CA4A9...
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 sufficienc itostuototy3tandards, specifications,and requirements:
((USX COVIA,t*&
Office of the Risk Management Officer �FDCF9698049@ Date: 3/7/2017
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer ('1 Date: 3/16/2017
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Legal Services
This agreement is approved as to le Lfgovapd sufficiency:
abt,litd. AitArit, lSCO
Office of the County Attorney Date:3/16/2017
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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 2/17
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