HomeMy WebLinkAboutR 2017-131-E DEAPR - John Pelphrey for tennis instruction DocuSign Envelope ID:3933B2CD-9AEB-4648-90BD-C494195CA355
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: John Pelphrey Party/Vendor Contact Person: John Pelphrey Contact Phone: 919-357-8375
Party/Vendor Address: 421 Saint Mary's Road City Hillsborough State: NC Zip: 27278 Department: DEAPR-
Recreation Amount: $630.00 Purpose: Tennis 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 4/4/2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to balufc and content:
Department Director's Signature � � �� � Date:4/3/2017
611C.FA145U/A495...
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 sufficiencQfm ,:standards, specifications,and requirements:
QUSA COMA. t16 4/4/2017
Office of the Risk Management Officer 1/4.--- Date:
Financial Services
This instrument has been pre-audited i ulccequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office r1"% 4-1.1-0- Date: 4/7/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as t ^ � w xd sufficiency:
LOLtA, lebltvl' 4/7/2017
Office of the County Attorney Date:
EAA3D33 B8k8465...
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 5
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