HomeMy WebLinkAboutR 2015-312-E Aging - Bruce Gillooly for Senior Center instructor DocuSign Envelope ID:OD9EF802-8779-4DF5-9500-E911A4113333
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Bruce Gillooly Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 346 Chatham Dr City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: $3,000.00 Purpose:
senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 51330 (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 techni of9e content:
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Department Director's Signature y Date: 7/1/2015
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:
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Office of the Risk Management Officer Date: 7/2/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner re uired by the Local Government Budget and Fiscal Control Act:
DocuSigned b
Office of the Chief Financial Officer
blti Date: 7/2/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 74035CB8304CA4Ag ar��sufficiency:
goe y:
7/2/2015
Office of the County Attorney � Date:
...
Clerk to the Boa rd
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