HomeMy WebLinkAboutR 2017-337-E Aging - Katrice Hester for wellness instructor DocuSign Envelope ID:AEE4F3FE-D5B5-42A5-8AE4-F57FB7BA7945
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Katrice Hester Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 5127 Copper Ridge Dr.,Apt 105 City Durham State: NC Zip: 27707 Department: Aging Amount: $2,500
Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#N/A (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
720/17 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: 7/20/2017
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:
r---DocuSigned by:
Office of the Risk Management Officer MS& Cbb Date: 7/21/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
7/21/2017
Office of the Chief Financial Officer rl 4,1-41.1~- Date:
`—7D4E5181 ACC 1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
p--DocuSigneed,by�:♦-.
County Attorney ate, hark, 1 scb 7/24/2017
Office of the Coun Attorne Date:
`—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