HomeMy WebLinkAboutR 2015-356-E Aging - Julia Katz for MAP summer intern DocuSign Envelope ID:447D9587-9945-4A94-A452-8EDF7406B837
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Julia Katz Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
105 Fidelity Street, B17 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 Maw
2015 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to techni.Cal form and content:
ocuSigned by:
-
Department Director's Signatur �U_ �-� 5/15/2015
y bur Date:
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:
''11
QllStU (hVVt&b 5/18/2015
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited i D c�,.quired by the Local Government Budget and Fiscal Control Act:
pm/,L �,o+bvu 5/25/2015
Office of the Chief Financial Officer Date:
232DFFC2CFA8478...
Legal Services
This agreement is approved as to C.�,m sufficiency:
Office of the County Attorney 1� Date: 5/26/2015
035CB8304CA4A9...
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