HomeMy WebLinkAboutR 2015-225-E Aging - Julia Katz for summer internDocuSign Envelope ID: 447D9587- 9945- 4A94- A452- 8EDF7406B837
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party /Vendor Name: Julia Katz Party /Vendor Contact Person: Contact Phone: Party /Vendor Address:
105 Fidelity Street, B17 City Carrboro State: NC Zip: 127510 Department: Aging Amount: $3,000 Purpose: MAP
Summer Intern Budget Code(s): 10430020 - 630120 Vendor # NIA (NIA if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May I5
2015 Approved by Board Yes ❑ No ® Agenda Date :
This agreement is approved as to technical form and content:
DocuSigned by:
Cj5/15/2015 ��
Department Director's Signatur Date:
B7E962D1 BF454FA...
Information Technologies
(Applicable only to hardwarelsoftware 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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
F ce USA, (hV'Vt.11�d 5/18/2015
Offi of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre - audited i gun required by the Local Government Budget and Fiscal Control Act:
P&LkL
Office of the Chief Financial Officer Date: 5/25/215
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le �laLqg egigd sufficiency:
Office of the County Y Attorne A�-� Date: 5/26/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion , Dolloyd(c -Ora ecountyne. o�
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10114 4
Date: