HomeMy WebLinkAboutR 2017-405-E DEAPR - Edward Larson for chess lessons DocuSign Envelope ID: 10A1 F8FF-DD77-42D6-9A2C-80DF07E31 E7B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Edward Larson Party/Vendor Contact Person: Edward Larson Contact Phone: 919-636-2889
Party/Vendor Address: 610 Elin Court City Hillsborugh State: NC Zip: 27278 Department: DEAPR Amount:
$980.00 Purpose: Chess Lessons Budget Code(s): 10511020 630000 Vendor#64469 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective
Date 9/1/2017 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tec c1 ii cia d content:
6a SfA 8/23/2017
Department Director's Signature �� Date:1� � A49s...
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 I' ® :standards, specifications,and requirements:
QUSA. cort&t t 8/23/2017
Office of the Risk Management Office 7 � Date:
Financial Services
7
This instrument has been pre-audited i ltquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � O Date: 8/23/2017
711/1 E51 81 ACC 1 M9...
Legal Services
This agreement is approved as tt ,-!'.'cibigtridatild�s,l'ufficiency:
b leb�•w 8/25/2017
Office of the County Attorney ,, ,,,,,,SAS 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
DS
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