HomeMy WebLinkAboutR 2015-293-E Aging - Toni Shaw for wellness instructor DocuSign Envelope ID:4304A459-1187-466D-BE4D-2222D2FDOB84
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Toni Shaw Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
1301 Deerfield City Mebane State: NC Zip: 27302 Department: Aging Amount: $800.00 Purpose: Wellness
Instructor Budget Code(s): 29430320-630000 Vendor 4 61838 (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:
6/29/2015
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 i ur�pce tandards,specifications,and requirements:
�ocuSigned""�y:''111L
Office of the Risk Management Officer F uSa 66vvu 6 Date: 6/29/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the 6n&q geer�yquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer b�' Date: 6/29/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 1 ofgjWm�sufficiency:
Office of the County Attorney Date: 6/29/2015
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