HomeMy WebLinkAboutR 2015-421-E Aging - Julia Hill for MAP summer intern DocuSign Envelope ID: D3E4F616-EA53-4F3E-B1D6-3B4158AD40E6
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Julia Hill Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
122 Friar Lane 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 May 15,2015 Approved
by Board Yes❑No® Agenda Date:
This agreement is approved as to tec ^ g ,&4content:
Department Director's Signature �a�n,tGt fiy Date: 5/13/2015
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"" 6 by:
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Office of the Risk Management Officer Date: 5/14/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the qp,n erdtyquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � b�' Date:
5/14/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 0QgWW4.sufficiency:
Office of the County Attorney 440 1�, Date: 8/11/2015
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