HomeMy WebLinkAboutR 2015-324-E Aging - William Meyers for wellness instructor DocuSign Envelope ID:6EE6AC2A-3229-41 BE-821D3-E6131 0713201A2
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: William Mew Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1204 little Creek Road City Durham State:NC Zip: 27713 Department: Aging Amount: 1,500.00 Purpose:
wellness instructor Budget Code(s): 29430320-630000 Vendor# 56366 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date Jul�l,
2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
' ,�a�,iu- - � Date: 7/7/2015
Department Director's Signature
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:
Docu Signed by:
Office of the Risk Management Officer Q�iS u r,6V17t t 0 Date: 7/7/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned y:
Office of the Chief Financial Officer blti Date: 7/7/2015
232DFFC2CFA847B...
Legal Services
i
This agreement is approved as to le a�fo lgnaid:sufficiency:
ocu i
Office of the County Attorney Date: 7/7/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync•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