HomeMy WebLinkAboutR 2015-211-E Aging - Mary Wangen for MAP summer intern DocuSign Envelope ID: 550D4A40-4DD6-48EA-8667-C368926E38EE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Mary Wangen Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 100 Raven Ln. City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,000 Purpose: MAP
Summer Intern Budget Code(s): 10430020-630120 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Maw
2015 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to tecIpicalfarAlogd content:
Department Director's Signature �y Date: 5/13/2015
B7E962D1BF454FA...
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:
DocuSigned""by:
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Office of the Risk Management Officer Date: 5/14/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th .mgAW,�jgpired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PMA bV' Date: 5/14/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le p�%m j.sufficiency:
Office of the County Attorney 1� Date: 5/14/2015
4035CB8304CA4A9...
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