HomeMy WebLinkAboutR 2017-320-E DEAPR - Antonio Aguilar as lacrosse summer camp instructor DocuSign Envelope ID:A28B0035-9968-4AAA-867E-692D5BEE42A5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Antonio Aguilar Party/Vendor Contact Person: Antonio Aguilar Contact Phone: 336-263-0050
Party/Vendor Address: 498 Stonewall Drive City Mebane State: NC Zip: 27302 Department: DEAPR Amount:
$1.200 Purpose: Lacrosse Summer Camp Budget Code(s): 10511020 630000 Vendor# (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 7/23/17 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to � ontent:
uct 7/17/2017
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 sufficienc '4fts eeYstandards, specifications,and requirements:
Qttsa Corti ,tl6 7/17/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
DocuSi ned b
This instrument has been pre-audited i the manger cNuired by the Local Government Budget and Fiscal Control Act:
,Z 7/17/2017
Office of the Chief Financial Officer 7D4E5181ACC14o9... Date:
Legal Services
This agreement is approved as t e b1 i1 d Sufficiency:
Office of the County Attorney Date: 7/17/2017
County y EAA3D33ED8A8465...
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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