HomeMy WebLinkAboutR 2015-297-E Aging - Stephanie Yost for wellness instructor DocuSign Envelope ID: 73E4649B-OD6A-4F31-86F2-629FBOFF480E
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Stephanie Yost Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 7700 Amesbury Drive City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $5,000.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 34784 (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 technic fo eRd content:
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Department Director's Signature iU Date: 6/28/2015
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:
''11LL
Office of the Risk Management Officer PCs& 66vvu 6 Date: 6/29/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the ribaig g Qe��nired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer_ bVu Date: 6/29/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 1 Dfa AUdysufficiency:
Office of the County Attorney s 1� 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