HomeMy WebLinkAboutR 2015-278-E Aging - Karah Daniel, RN for wellness instructor DocuSign Envelope ID:920E958B-BC18-461A-9F2F-998A63D4729C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Karah Daniel, R.N. Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: P O Box 9388 City Chapel Hill State: NC Zip: 27515 Department: Aging Amount: $5,000.00 Purpose:
wellness instructor Budget Code(s): 29430320-622000 Vendor 4 63090 (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 technical form and content:
DocuSigned by:
Department Director's Signature «
Date: 6/22/2015
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 allStU (hVV,&b Date: 6/22/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the WaT e�ripwred by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer b�' Date:
6/22/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 74035CB8304CA4Ag arq sufficiency:
gne y:
Office of the County Attorney � � Date: 6/23/2015
...
Clerk to the Bo ard
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