HomeMy WebLinkAboutR 2017-731-E DEAPR - Stephen Rankin Cedar Grove history wall DocuSign Envelope ID:064412EF-AC39-4D55-8ED9-64586766560C
ORANGE COUNTY--DEPARTMENT USE ONLY
Depart><trxent
Party/Vendor Name: Stephen J. 11.Rankin Party/Vendor Contact Person: Stepben J. H.Rankin Contact Phone: 919
308-6057 PartyNendor Address: 136 Nat Villines Road City Hurdle Mills State: NC Zip: 27541 Department:
DEAPR. Amount: $800.00 Purpose: Provide historical research services for the History Wall exhibit at the Cedar
Grove Community Center Budget Code(s): 10610020 630000 Vendor# 63808 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New N Renewal ❑ Amendment ❑ Effective Date
March 28,2017 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature Paw, SfC Date: 3/29/2017
611 CFA1 D597A495.-.
Information Technologies
(Applicable only to hard>varelsoftware 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 Mana-zemaeant
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSiggned by:
�Office of the Risk Management Officer U50. CbKWA6 Date: 3/29/2017_ _
7FDCF917E800498.-.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer Date: 3/29/2017
7NE5181ACC1409.-.
L al Services
This agreement is approved as to legal forth and sufficiency:
UocuSigned by:
Office of the County Attorney , 61LW K � ` _------ —Date: 4/3/2017
EAMMaEMAE465
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydOorangecountync.eov
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 2117 5