HomeMy WebLinkAboutR 2015-350-E Aging - Reikan Lin for MAP summer intern DocuSign Envelope ID:4610B145-8FA1-4F53-9A6E-94927D2DB372
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Reikan Lin Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
122 Friar Ln City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,000 Purpose: MAP Summer
Intern Budget Code(s): 10430020-630120 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date May 20 2015 Approved
by Board Yes❑No® Agenda Date:
This agreement is approved as to technical fc�xgne�d content:
ocu, (
Department Director's Signature iU ur Date: 7/21/2015
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:
''1L
QllStU (hVV,&b
Office of the Risk Management Officer Date: 7/21/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th 1R�gerdequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer pm/,L �bin, Date: 7/22/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le 1 foy'm ppd sufficiency:
�ocu gne�by:
Office of the County Attorney ✓ gli— Date: 7/22/2015
4035CB8304CA4A9...
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