HomeMy WebLinkAboutR 2017-351-E DEAPR - Jason Zwilling for capoeira instruction DocuSign Envelope ID:3E85CCE1-2986-4C79-97EF-1121BEFDOD13
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:
$945.00 Purpose: Capoeira Instruction Budget Code(s): 10511020 630000 Vendor # 64346 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 7/26/17 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to tec n a1T(� �a d content:
V s OWL 7/28/2017
Department Director's Signature 611CFA1D507A495... Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc o 14fi Ee§tllandards, specifications,and requirements:
QUSX 1'wUib 7/31/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited i eDPf i Ittquired by the Local Government Budget and Fiscal Control Act:
(21' '�°"' '°', 7/31/2017
Office of the Chief Financial Officer 714F51R1ACC1409 Date:
Legal Services
This agreement is approved as t eggfg'b'?$efficiency:
)(AAA, 7/31/2017
Office of the County Attorney EAA3D33ED8A8465... 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 2/17 5
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