HomeMy WebLinkAboutR 2015-361-E Aging - Alicia Reid for wellness instructor DocuSign Envelope ID: 165D3B4D-D069-4060-B893-CE23BF8F28D4
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Alicia Reid Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3508 Borland Road City Efland State: NC Zip: 27243 Department: Aging Amount: $990.00 Purpose: Wellness
Instructor Budget Code(s):29430320-630000 Vendor 4 62881 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 28, 2015
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technicp1 f rm nd content:
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cu�igned"by:
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Department Director's Signature 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:
PUS.DocuSigned""by:''1L g rbvvte tt0 7/27/2015
Office of the Risk Mana ement Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
--DocuSigned by:: ''
Office of the Chief Financial Officer AU� l(1-bvu Date: 7/28/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 1 f rm b�ppd sufficiency:
�ocu�ignedby:
Office of the County Attorney Date: 7/28/2015
...
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