HomeMy WebLinkAboutR 2018-567 Coop Ext - James Pentecost LocalFest demo ORANGE COUNTY-DEPARTMENT USE ONLY c>zo (0o -56 7
Department
PartyNendor Name: James S. Pentecost Jr. PartyNendor Contact Person: Contact Phone: 1-336-503-2460
Party/Vendor Address: 4201 Woodsdale Rd. City Roxboro State: NC Zip: 27574 Department: County Manager
Amount: 250 Purpose: Combread Demonstration Budget Code(s): 34600020 900057 Vendor N KSIS (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New M Renewal ❑
Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: ,
This agreement is approved as to technical form and content:
Department Director's Signature �rd�' �^ Date: r' ///1f
Information Technologies
(Applicable only to hardware/sofnvare 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 sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer 2 Date:
Financial S ices
This instrument has been pre-audited in the or q it by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: I7
Legal Services
This agreement is approved as to legal fore su en�c yA��
Office of the County Attorney h� Date: / 2
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersolloorangecounNnc
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
LF2018 v.1.
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