HomeMy WebLinkAboutR 2015-348-E Aging - Daniel Leonard, RN for wellness instructor DocuSign Envelope ID:862A1C76-E42E-48F6-B579-DC059294685A
DocuSign Envelope ID:401935FF-93EC-462C-9FB0-D487E3C12B7B
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ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Daniel Leonard,R.N. Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 105 Keith Road City Carrboro State: NC Zip: 27510 Department: Aging Amount: $5,000.00 Purpose: t'
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 Jul�Ll
2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technicaloforxn and content;
ocu igned y:
Department Directors Signature
�atn,tu �d V Date: 7/15/2015
B7E962D1BF454FA...
Information Technoloeies
(Applicable only to hard0are/softtvare purchases or related sewices)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: j
I—Ausa,DocuSigned"by:'
Office of the Risk Management Officer �,bvvt,e,f t 6 Date: 7/21/2015
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7FDCF9176800498...
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Financial Services
This instrument has been pre-audited in the mg ulgneired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer, �& Date: 7/22/2015
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232DFFC2CFA847B...
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Legal Services
This agreement is approved as to=4035CB8304CA4Ag gufficiency:
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Office of the County Attorney 7/22/2015
Date;
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Clerk to the Board
Recei ved for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a�orangecountynagov
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