HomeMy WebLinkAboutR 2016-474-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID: F6CD8250-2AB4-4A11-B4D8-9974EFB1B1A6
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2722 Party/Vendor
Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $1.792.00
Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor#51178 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No[] Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to r-vL'�rs r%d c ntent:
'l 8/21/2016
Department Director's Signature n„cF Date:
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 sufficienc I�womn tvstandards, specifications,and requirements:
QUSA, (hVV,c,�16 8/22/2016
Office of the Risk Management Officer�PnrPa,7RRnnAQ Date:
Financial Services
This instrument has been pre-audited i e114MMh'&P�quired by the Local Government Budget and Fiscal Control Act:
8/22/2016
Office of the Chief Financial Officer Lita
SFSaslariAn4 Date:
Legal Services
This agreement is approved as t e 118HUlaW•d,�ssu,fficiency:
6 r6ufs 8/22/2016
Office of the County Attorney Date:
AA
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
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