HomeMy WebLinkAboutR 2017-184-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID:OB3CCEF1-607F-4A67-82A4-386187C24CBA
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: 919-732-2722
Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Depallnient: DEAPR-Recreation
Amount: $537.60 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 5/2/17 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tecpnikakmdod content:
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Department Director's Signature Pa SfA Date: 5/8/2017
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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 /dd�S ,:standards, specifications,and requirements:
QUSA COrvA.0'6 5/8/2017
Office of the Risk Management Office Date:
Faeralt681@8488
Financial Services
This instrument has been pre audited i �� iequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 5/16/2017
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Legal Services
This agreement is approved as tt -ID..cf6mtdawd sufficiency:
,aLtA, leblwl' 5/16/2017
Office of the County Attorney Date:
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:
Revised 2/17 5
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