HomeMy WebLinkAboutR 2017-296-E Aging - Lorraine Lewis for wellness instructor DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Lorraine Lewis Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 107 Morningside Drive City Carrboro State: NC Zip: 27510 Department: Aging Amount: $1,500 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#57608 (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
J 10-- � Date: 7/11/2017
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 aMMS& Cov Date: 7/12/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
f ---DocuSigned by.
Office of the Chief Financial Officer rl Art. a— Date: 7/13/2017
—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
p--DocuSigned by:
Office of the County Attorney ate, hark, 1 sco Date: 7/13/2017
`—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