HomeMy WebLinkAboutR 2015-371-E Aging - Sarah Edwards for MAP summer intern DocuSign Envelope ID: 353AD829-3A63-4278-9BB7-915A2C7A09C3
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Sarah Edwards Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 108 S. Corncrib Ct. City C
M State: NC Zip: 27513 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 technical form and content:
DocuSigned by:
Department Director's Signature 5 U_ - �'r 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:
PAUStL r,6vvte tt0 7/22/2015
Office of the Risk Management OfficerDate:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
--DocuSi+gn__ed by:
Office of the Chief Financial Officer lblti Date: 7/22/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorne c Date: 7/28/2015
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