HomeMy WebLinkAboutR 2015-277-E Aging - Linda Textoris, RN for wellness instructor DocuSign Envelope ID:4DC98AE0-D25F-4801-877E-102F34C06A65
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Linda Textoris,R.N. Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 750 Weaver Dairy Road, 4204 City Chapel Hill State: NC Zip: 27517 Department: Aging Amount:
$7,000.00 Purpose: wellness instructor Budget Code(s): 29430320-622000 Vendor 4 58380 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date July 1,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tecIpicalfarAlovd content: DocuSigned by:
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Department Director's Signature Date: y
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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: DocuSigned by:
Office of the Risk Management Officer PUS#, (,6V17t 6 Date:l7FDCF9176800498...usa, (,6m,&b
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Financial Services
This instrument has been pre-audited in th �gdrWuired by the Local Government Bud et M4,Fiscal Control Act:
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Office of the Chief Financial Officer P� �,"-"'D 6VU Date PMAL VU
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Legal Services
This agreement is approved as C4035CB8304CA4Ag..al Born,and sufficiency:
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d 6/23/2015
Office of the County Attorne 4jj, I Date:
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