HomeMy WebLinkAboutR 2014-486 DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID: BBEB91 D3-16B0-4295-9E85-F947DC32EFAA
ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Party/Vendor Contact Person: Nina Maier Contact Phone: (919)732-2722 Party/Vendor
Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $1600.00
Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor 4 51178 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date
September 1,2014 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form @M td by:
��� Sfa�u� 9/3/2014
Department Director's Signature sFal�so,�4se 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 Director of Information Technology Date:
Risk Management
This agreement is approved for suf llegPE"i -iA§urance standards,specifications,and requirements:
Q rbvvull0 9/4/2014
Office of Risk Management 7FDCF9176800498_ Date:
Financial Services
This instrument has been pre-audited in the in rnn g 0fUq@lq*�by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer V�R� Date: 9/4/2014
Legal Services
This agreement is approved as to legal rTW W'W�ftie cy:
JJ ��,,�� 9/4/2014
Office of the County Attorney EBAami f]SAB46.i_ Date:
Clerk to the Board
Received for record retention: oocu8igned by:
�bl�t In a JjA�t V 9/4/2014
Office of the Clerk to the Board 7�1R,F��R, Date:
Revised 7/14 4 ff