HomeMy WebLinkAboutR 2015-337-E Aging - Senie Wolfe for wellness instructor DocuSign Envelope ID: E0415AA0-CF02-40B8-B47D-AE48574B8D5E
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Senie Wolfe Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 909 Pahners Grove Church Road City Hillsborough State: NC Zip: 27278 Department: Aging Amount:
$1,500.00 Purpose: wellness instructor Budget Code(s): 10430120-770105 Vendor # 58051 (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 J A.bLtGt. � Date: /9/2015 '
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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:
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Office of the Chief Information Officer Date:
Risk M emen
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This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned"by:'
Office of the Risk Management Officer 5&4L r,6vt e& Date: 2/9/2015
7FDCF9176800498...
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Financial Services
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This instrument has been pre-audited in the qo,u 9�eAc�uu�ed by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer �A blti Date: 2/9/2015
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Legal Services
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This agreement is approved as to le atf2.�nggq,ysufficiency:
Office of the County Attorney ✓� � Date: 2/9/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coun.nc._ov
The following signature block is for hard copies only and is not required for Docusign contracts:
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Office of the Clerk to the Board Date:
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Revised 10/14 4
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