HomeMy WebLinkAboutR 2017-293-E Aging - Stephanie Yost for wellness instructor DocuSign Envelope ID:C733D067-EAD3-48E9-A1 F0-3E430A56A0B3
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Stephanie Yost Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 7700 Amesbury Dr City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $5,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#34784 (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:
/^--DocuSigned by:
Department Director's Signature jouia, t'illtr Date: 7/12/2017
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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 sufficiency of insurance standards, specifications, and requirements:
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Office of the Risk Management Officer aMtS& 661(Vu'U{ Date: 7/13/2017
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
Office of the Chief Financial Officer rIAA61 Ana, am Date: 7/13/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
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U bUA L ova ark- fibSCb 7/13/2017
Office of the County Attorne Date:
079A4D525COF4FB...
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