HomeMy WebLinkAboutR 2016-410-E Aging - Karah Daniel, R.N. - Fit Feet nurse DocuSign Envelope ID: 12D4206E-OD82-4E82-BF44-D5FD9591E67C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Karah Daniel Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: PO Box 9388 City Chapel Hill State: NC Zip: 27515 Department: Aging Amount: $2,500 Purpose: Fit
Feet nurse Budget Code(s): 29430320-622000 Vendor#63090 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 20, 2016
Approved by Board Yes❑No[] Agenda Date:
This agreement is approved as to technical forth and content:
Docu5igned by:
Department Director's Signatur �WAA*U_ ��W Date:
7/22/2016
B7E962D1BF454FA...
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 sufficiency of insurance standards, specifications,and requirements:
Docu5igned by: 11i1
Office of the Risk Management Officer pllS. ('6nA '',ll b Date: 7/25/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the oDtn��g ed�ry.quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 7/28/2016
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7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney 5 Date: 7/29/2016
4035CE8304CA4A9...
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 6/16 5