HomeMy WebLinkAboutR 2017-266-E Aging - Jennifer Sugg for fit feet clinic services DocuSign Envelope ID:ED2CCF62-5EB3-44E8-BDBF-108FCDEA983A
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Jennifer Sugg Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: PO Box 272 City Bynum State: NC Zip: 27228 Department: Aging Amount: $2,500 Purpose: Wellness
Instructor Budget Code(s): 29430320-622000 Vendor#63091 (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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7/2/2017
Department Director's Signature j LUtA L- 1-11k4'' Date:
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
a�1S& rbvvutl6 Date: 7/3/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
7/3/2017
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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County Attorney U.bUA.t, hark,, -Nto 7/3/2017
Office of the Coun Attorne 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