HomeMy WebLinkAboutR 2015-188-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID: 1845BDA8-DB24-47EO-AOC4-C533E5FD966B
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
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: $359.00
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
April 15,2015 Approved by Board Yes❑No❑ Agenda Date:
VDoWySi ned bThis agreement is approved as to technical o c fentaSfav�U� 4/20/2015
Department Director's Signature 611CFA1D507A495... 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 i Mcl ijWAgards,specifications,and requirements:
Qusa, 66vvt,e 6
Office of the Risk Management Officer Date: 04/21/2015
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Financial Services
This instrument has been pre-audited in t 4agnhpuired by the Local Government Budget and Fiscal Control Act:
�AU� �bliL 4/21/2015
Office of the Chief Financial Officer o�F�eF�ae7 Date:
Legal Services
This agreement is approved as to leg 11' tinfficiency:
,�66U otxfs 4/21/2015
Office of the County Attorney Date:
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
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 4
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