HomeMy WebLinkAboutR 2015-358-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID: FE267327-3BDB-40CA-BA20-4214FAEF2146
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2722 Party/Vendor
Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $2464.00
Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor 4 51178 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical fo a D ocu8i ened by:
N'IA'a 7/27/2015
Department Director's Signature 611CFA1 D507A495... Date:
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 i curds,specifications,and requirements:
Q�ASA. r,6vvt,e,tt0
Office of 7 the Risk Management Officer ,FnrFOl7�80DA98m Date: 7/27/2015
Financial Services
DocuSigned by:
This instrument has been pre-audited in th[T232DFFC2CFA847B rruud�er re u d by the Local Government Budget and Fiscal Control Act:
,2 re M 7/27/2015
Office of the Chief Financial Officer . Date:
{� Legal Services
1 foYYYlned b
This agreement is approved as to r[=AA3D33ED8A8465�� c�sl}�ficiency:
t�'� 7/27/2015
Office of the County Attorney ... Date:
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 ff