HomeMy WebLinkAboutR 2015-511-E Aging - Katherine Moorehead for Senior Center instructor DocuSign Envelope ID: C6CE3B21-B93B-4DE9-92AB-69EOF2286C60
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Katherine Moorehead Party/Vendor Contact Person: Contact Phone:
Party/Vendor Address: 204 Oak Avenue City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000
Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 62625 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective
Date September 15,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical LgrgmeaVd content:
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Department Director's Signature iU_ 'r b it Date: 9/15/2015
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:
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Office of the Risk Management Officer Paustu (;6 tt0 Date: 9/15/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner roc uired by the Local Government Budget and Fiscal Control Act:
DocuSigned
Office of the Chief Financial Officer
6vu Date: 9/16/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to T;.zH�CB8304CA4M f gn :sufficiency:
Office of the County Attorney ✓ 1� Date: 9/17/2015
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Cle rk 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