HomeMy WebLinkAboutR 2016-107-E Health - Adebukola Oni for Criminal Justice and Health Report DocuSign Envelope ID: D7B014C7-E395-4724-BF7E-F6D1DDEBCED5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Addbukola Oni Party/Vendor Contact Person: Addbukola Oni Contact Phone: 240-413-3405
Party/Vendor Address: 1726 Vista Street City Durham State: NC Zip: 27701 Department: Health Amount: $2.100
Purpose: Criminal Justice and Health Report Budget Code(s): 10412020-630000-71456 Vendor# 63528 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 1/15/16 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to ualufwm and content:
Department Director's Signature Date: 1/4/2016
Information Technolosies
(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 sufficient uC�
mctiystandards, specifications,and requirements:
Qusa, (hVV't 6 1/4/2016
Office of the Risk Management Officer 4FOGF94W-9S90498 Date:
Financial Services
This instrument has been pre-audited i e114MMh'&P�quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
i t a sFSassar ±nQ Date: 1/4/2016
�
Legal Services
This agreement is approved as tqirgMcf@rmclATd sufficiency:
Office of the County Attorney '�q'`� Date: 1/6/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov
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 5