HomeMy WebLinkAboutR 2015-521-E Aging - Sharon Lynn Payne for Senior Center instructor DocuSign Envelope ID: E7E41114-899E-4363-B04E-5C9923EE95E8
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Sharon Lynn PUne Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 121 N Nash Street City Hillsborough State:NC Zip: 27278 Department: Aging Amount: $3,000 Purpose:
senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 62251 (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
Egrm and content:
Department Director's Signature Date 9/20/2015,iGt 'r :
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:''1L
Q�AS#, r,6vvt,e 6 9/21/2015
Office of the Risk Management Office Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the m nn r regVired by the Local Government Budget and Fiscal Control Act:
�ocu�igned-by:
Office of the Chief Financial Officer
bVu Date: 9/21/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney
L16 k Date: 9j23/2015
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