HomeMy WebLinkAboutR 2017-257-E Aging - Arlene Bynum-Mills for wellness instructor DocuSign Envelope ID:D2C76CFB-8982-463E-ABA8-98FE7C445551
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Arlene Bynum-Mills Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 213 Rosaline Lane City Durham State: NC Zip: 27713 Department: Aging Amount: $1,200 Purpose:
Wellness Instructor Budget Code(s): 10430120-770105 Vendor#64460 (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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6/29/2017
Department Director's Signature j LUtA L- i� t V Date:
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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 sufficiency of insurance standards, specifications, and requirements:
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Office of the Risk Management Officer a�1Sa �,bvwc Date: 6/29/2017
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Financial Services
This instrument has been pre-audited in the manner r guired by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer °" a°9Z Date: 6/30/2017-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
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abl.btd, hark, -Nto 7/2/2017
Office of the County Attorney Date:
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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