HomeMy WebLinkAboutR 2017-243-E Aging - Nina Maier for tai chi classes at Passmore Center DocuSign Envelope ID:FlB31172-6DD2-4B45-AEBD-1CA1925823FC
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3302 Pearson Rd City Hurdle Mills State: NC Zip: 27541 Department: Aging Amount: $4,000 Purpose: Wellness
Instructor Budget Code(s): 29430320-630000 Vendor#51178 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/01/17 Approved
by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature jLlAA L- � Date: 6/27/2017
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:
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Office of the Risk Management Officer rbYliut 16 Date: 6/27/2017
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 y:
6/27/2017
Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney
0.t,u, 1✓ hark, 1 SCb Date: 6/27/2017
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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