HomeMy WebLinkAboutR 2015-374-E Aging - Kathleen Hammon for wellness instructor DocuSign Envelope ID: D3A3FB7C-F3D5-4390-A335-E1 D1DF068BE6
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ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kathleen Hammon Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1102 E Franklin Street City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $4,000.00 f
Purpose: wellness instructor Budget Code(s): 10430120-770105 Vendor#56311 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date
July 20,2015 Approved by Board Yes❑No❑ Agenda Date:
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This agreement is approved as to technical form and content:
DocuSigned by:
Department Directors Signature
, O,JA,. fi Date: 7/16/2015
B7E962D1BF454FA._
Information Technologies
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(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:
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Risk Management {
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This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer Aura, r,6�0 Date: 2/19/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the ffililn,e.Ipyquired by the Local Government Budget and Fiscal Control Act: [:!
Office of the Chief Financial Officer �A blti Date: 7/28/2015
232DFFC2CFA847B... I
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Leal Services
This agreement is approved as to le aI form and sufficiency: r'
ocuSigned by:
Office of the County Attorney Date: 2/28/2015
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg coup nc,gov
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