HomeMy WebLinkAboutR 2015-279-E Aging - Steven Drysdale for wellness instructor DocuSign Envelope ID: EACBD833-2A78-4046-B904-6CCD2F4B10BD
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Steven Dr s� Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 5007 Mill Hill Lane City Chapel Hill State: NC Zip: 27517 Department: wing Amount: $990.00
Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor 4 62949 (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:
P « fi�X Date: 6/22/2015
Department Director's Signature y
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 iRsur�anc�standards,specifications,and requirements:
ocu 1gneY' by:''111L
Office of the Risk Management Officer F uSa �,bvvu 6 Date: 6/23/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer bvu Date:
6/23/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to C.�,m sufficiency:
Office of the County Attorney 1� Date: 6/23/2015
035CB8304CA4A9...
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