HomeMy WebLinkAboutR 2015-288-E Aging - Nancy DeDe Banks for wellness instructor DocuSign Envelope ID: EFCD6537-BEA4-41F3-8680-FA37D42AB8E1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nancy DeDe Banks Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 747 Rock Rest Road City Pittsboro State: NC Zip: 27312 Department: Aging Amount: $1,800 Purpose:
wellness instructor Budget Code(s): 29430320-630000 Vendor# 55776 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment El Effective Date July 1
2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical f(�rm gnd content:
^^43ocua�lgned by:
Department Director's Signature JA�'lu' fi�,lr 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 ir�sur�nce�Standards,specifications,and requirements:
ocu igne'"y
Office of the Risk Management Officer Q�1SA rbV17t t 0 Date: 6/25/2015
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
�AU� (,A.IA byu Date:6/25/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
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 @ Dolloyd@orangecountync.gov
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