HomeMy WebLinkAboutR 2017-424-E Health - Rwenshaun Miller - speaker at Suicide Prevention Awareness Walk DocuSign Envelope ID:9E56FE74-A7B0-4359-B3C6-OB1A7B09E573
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Rwenshaun Miller Party/Vendor Contact Person: Rwenshaun Miller Contact Phone: 919-624-
9954 Party/Vendor Address: 5002 Misty Oaks Drive, Apt. 1415 City Charlotte State: NC Zip: 8269 Department:
Health Amount: $1500 Purpose: Speaker at Suicide Prevention Awareness Walk Budget Code(s): 10412020-630000-
71451 Vendor#64735 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date 9-1-17 Approved by Board Yes No Agenda
Date:
This agreement is approved as to to Dal irii b:
content:
On f,Vl�t 8/28/2017
Department Director's Signature 5145A2CD945C40F. Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency 4MFstli e tandards, specifications, and requirements:
((USA. rblet/ut 6
8/28/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited i e4$ff`tT'8'� PPquired by the Local Government Budget and Fiscal Control Act:
6>a7, A.446,. 8/28/2017
Office of the Chief Financial Officer 7D4F5181ACC1400 Date:
Legal Services
This agreement is approved as t ejg$Pstli'ftai�`'d♦-sufficiency:
a A. Aunt, SG6 8/28/2017
Office of the County Attorney 079&4D525COF4Fe__ Date:
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