HomeMy WebLinkAboutR 2015-340-E Aging - Sandra Smith for Senior Center instructor DocuSign Envelope ID: B74C4BF8-1 B92-4637-9851-557FEF99ODCE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
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Party/Vendor Name: Sandra Smith Party/Vendor Contact Person: Contact Phone: Aging Party/Vendor
Address: 114 Cheshire Drive City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $990.00
Purpose: senior center instructor Budget Code(s): 10430120-629000 Vendor#61120 (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❑Non Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature 5 flu- fi Date: 7/15/2015
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:
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Office of the Chief Information Officer Date: F
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Risk Management
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This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
^--DocuSigned by:
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Office of the Risk Management Officer allStU (hn e,l l0 Date: 7/15/2015
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 r—NAL blti Date: 7/16/2015
232DFFC2CFA847B...
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Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 7/16/2015
4035CB8304CA4A9...
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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 count n�c.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
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