HomeMy WebLinkAboutR 2015-285-E Aging - Barbara Lang for wellness instructor DocuSign Envelope ID:8DA407CF-B6AB-4D24-827D-3AB023E04125
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Barbara Lang Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 905 Cedar Fork Trail City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $5,000.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 44068 (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 [_� «- �x Date: 6/24/2015
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'nst7ran standards,specifications,and requirements:
�ocuSigne�""�y:''11LL
Office of the Risk Management Officer auSa 66vvu 6 Date: 6/24/2015
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 blti Date: 6/25/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal fform nadnd sufficiency:
Office of the County Attorney Date: 6/25/2015
4035CB8304CA4A9...
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