HomeMy WebLinkAboutR 2014-411 Aging - Lara Balian for MAP ORANGE COUNTY-DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Lara Balian Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
2921 Kingston Ave City Durham State: NC Zip: 27704 Department: Aging Amount: $6,250.00 Purpose: MAP
Budget Code(s): 10430020-630120 Vendor# 61905 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type:(Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 25,2014 Approved by
Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: 7
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 Director of Information Technology Date:
Risk Management a
This agreement is approved for sufficiency of insurance standards,specifications,and requirements: JUL 3 1 2014
Office of Risk Management Date: y
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer a �� Date: V
8k�,
Lezal Services
This agreement is approved as to legal
Office of the County Attorney Date:
Revised 7/14 4