HomeMy WebLinkAboutR 2015-590-E Health - Charla Nicole Lawrence to provide consulting services for FSA DocuSign Envelope ID: F909898A-9A64-47A3-92F3-329E60FE71BE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Charla Nicole Lawrence Party/Vendor Contact Person: Nicole Lawrence Contact Phone: 919-
688-3282 Party/Vendor Address: 104 Cavendish Drive City C
M State: NC Zip: 27513 Department: Health
Amount: $3,000 Purpose: Consulting services for FSA Budget Code(s): 10412020-630000-71453 Vendor 4 63435
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date 10/22/15 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved a to to E�Y°ft%Y�,¢,,id ontent:
t�- 1' 11/10/2015
Department Director's Signature cQFns�FCFRSas Date:
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 sufficienc dasarawaystandards,specifications,and requirements:
aura, (hm,&b 11/10/2015
Office of the Risk Management Officer Fecfs��aooa�s_. Date:
Financial Services
This instrument has been pre-audited i Inquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer i� � � Date: 11/10/2015
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Legal Services
This agreement is approved as t tfbwiWhnd sufficiency:
Office of the County Attorney Date: 11/10/2015
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