HomeMy WebLinkAboutR 2016-707-E Health - Alamance Health Dept. - grant money received for Minority Diabetes Prevention Program DocuSign Envelope ID:505DF67F-22A8-4429-B254-C31FF4638A8F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Alamance Health Department Party/Vendor Contact Person: Stacie Turpin Saunders
Contact Phone: 336-513-5514 Party/Vendor Address: 319 N. Graham Hopedale Rd., Suite B City Alamance State:
NC Zip: 27217 Department: Health Amount: $15,000 Purpose: Money received through grant for Minority
Diabetes Prevention Program Budget Code(s): 10414005-443110-71405 Vendor # N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No X Contract Type: (Check one) New X Renewal ❑ Amendment ❑
Effective Date 1/1/17 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to ec i_d,,, �W'and content:
12/19/2016
Department Director's Signature C9ED9DOFC6B545E.. 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 sufficie q iigvuve e' standards,specifications,and requirements:
aura (hnu116 12/19/2016
Office of the Risk Management Officer 7FDCF9176aoo498 Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
12/19/2016
Office of the Chief Financial Officer 7D4E51a1ACC1409... Date:
Legal Services
This agreement is approved as e%1l`%WWhd sufficiency:
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Office of the County Attorney -�4os5cesao4cn4aa Date: 12/19/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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:
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