HomeMy WebLinkAboutR 2015-226-E Aging - Jennifer Sugg, R.N. for fit feet nurseDocuSign Envelope ID: 1 HOEHA- F8313-41 CE-BF1 1-1 370E9736968
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party /Vendor Name: Jennifer Sugg Party/Vendor Contact Person: Contact Phone: Party /Vendor
Address: OP O Box 272 City Bvnum State: NC Zip: 27228 Department: Amount: $980 Purpose: Fit Feet
Nurse Budget Code(s): 29430320 - 622000 Vendor # 63091 (N /A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No F-1 Contract Type: (Check one) New E Renewal ❑ Amendment E] Effective Date 05120115 Approved
by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to tec '
�qAV content:
�,�,�, '� 5/18/2015
Department Director's Signature Date:
B7E962D1 BF454FA...
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
• allsx V '�,d Date: 5/19/215
Office of the Risk Management Officer
7FDCF9176800498...
Financial Services
This instrument has been pre - audited in the manner r aired by the Local Government Budget and Fiscal Control Act:
DocuSigned�
Office of the Chief Financial Officer FN� L111 b" Date: 5/25/2015
232DFFC2CFA847B...
Leal Services
This agreement is approved as to legil f xm and sufficiency:
acu igne y:
Office of the County Attorney[ Date: 5/26/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion 4 Dolloyd(dwm-i ecoujtync.
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: