HomeMy WebLinkAboutR 2015-343-E Aging - Janice Galloway, RN for wellness instructor DocuSign Envelope ID:2D87994B-2BF5-4E42-BF79-7DA6E6324155
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DocuSign Envelope ID:DF7C6BB5-C031-4D40-A66D-493830D48532
ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
Party/Vendor Name: Janice Galloway, R.N. Party/Vendor Contact Person: Contact Phone: ;
Party/Vendor Address: 6615 Glen Forest Drive City Chapel Hill State:NC Zip:27517 Department:Aging Amount:
$6,000.00 Purpose: wellness instructor Budget Code(s): 29430320-622000 Vendor# 58613 (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 tec [Wcfgi gbd content:
,tGt 'r 7/16/2015
Department Director's Signature Date:
B7E962D1BF454FA...
Information Technologies
(Applicable only to hardware/softivare purchases or related services)This agreement has been reviewed and is
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approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management I
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This agreement is approved for sufficiency of insurAnce standards,specifications,and requirements:
Docu igned"by:'
Office of the Risk Management Officer Q�1Sa �,bvvt e f t 0 Date: 7/19/2015
7FDCF9176800498...
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Financial Services
This instrument has been pre-audited in P �QEer tired by the Local Government Budget and Fiscal Control Act:
7/20/2015
Office of the Chief Financial Officer �Adti� haw Date:
232DFFC2CFA847B... ""
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Legal Services
This agreement is approved as to �die��d sufficiency:
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7/20/2015
Office of the County Attorney "A Date:
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloynoran>ecotmtync.sov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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Revised 10/14 4