HomeMy WebLinkAboutR 2015-525-E Aging - Joan Cecil for Senior Center instructor DocuSign Envelope ID: CC66DB06-25D7-4526-9AA1-C57774CCE216
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Joan Cecil Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
4211 Slim Elmore Lane City Efland State: NC Zip: 27243 Department: Aging Amount: $3,000 Purpose: senior
centers instructor Budget Code(s): 10430120-629000 Vendor 4 63317 (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 form and content:
DocuSigned by:
'
Department Director's Signatur 0B7E962D1BF454FA UU_ �`� Date: 9/22/2015
...
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:''11LL
Office of the Risk Management Officer 5&4L (,6n e& Date: 9/23/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned y:
Office of the Chief Financial Officer I—NAL blti Date: 9/23/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form adnbd sufficiency:
DocuSign Office of the County Attorney FAI InkL Date: 9/23/2015
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