HomeMy WebLinkAboutR 2015-344-E Aging - Lorraine Lewis for wellness instructor DocuSign Envelope ID:8CBFE2F1-1CBA-4556-8389-C7586951FC5D
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Lorraine Lewis Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 104 Jones Ferry Road, Suite H City Carrboro State:NC Zip: 27510 Department:Aging Amount: $1,500.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 57608 (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 5 U_ -Ar Date: 7/8/2015
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:
''111L
Office of the Risk Management Officer PAUStL (,6vt e& Date: 7/20/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the pargeebequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer b�' Date: 7/21/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to g, :sufficiency:
Office of the County Attorney t7-0 1� Date: 7/21/2015
B8304CA4A9...
Clerk to the Board
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