HomeMy WebLinkAboutR 2015-177-E Aging - Steven Drysdale for 10 Zumba Gold classes
DocuSign Envelope ID: 3BEBF133-33E7-4E10-817E-71B0B62C96A8
ORANGE COUNTYDEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Steven Drysdale Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 5007 Mill Hill Ln City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $990.00 Purpose:
Wellness Classes Budget Code(s): 29430320-630000 Vendor # N/A (N/A if new vendor) Vendor is a BOCC
consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date
04/16/15 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
________________________________________ 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 Chief Information Officer________
___________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer
___________________________________ Date: _________
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
____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney
__________________________________________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 10/14
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