HomeMy WebLinkAboutR 2017-219-E Aging - Melissa Hunter for MAP intern DocuSign Envelope ID:05CCB187-B67F-4B4F-A40B-64CFB5AB805E
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Melissa Hunter Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 601 Jones Ferry Rd., Apt. B-15 City Carrboro State: NX Zip: 27510 Department: Aging Amount: $3,000
Purpose: MAP Budget Code(s): 10430020-630120 Vendor # 64458 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5/01/17
Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
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,- ocu igne by:
Department Director's Signature J6"10-- tilttr Date:
5/2/2017
B7E962D1BF454FA...
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 sufficiency of insurance standards,specifications,and requirements:
r---DocuSigned by:
Office of the Risk Management Officer MS& CbYliuth Date: 5/2/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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, -DocuSigned b :
6/19/2017
Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to lbforn aid sufficiency:
ocu igne y:
atAAAA. hark, t e 6/19/2017
Office of the County Attorney Date:
079A4D525C0F4FB...
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