HomeMy WebLinkAboutR 2017-519-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID: CE9836B7-F6D3-492A-B86B-3BDO6E3DBFBF
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2711 Party/Vendor
Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $1.792.00
Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor# 51178 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date
Approved by Board Yes No Agenda Date:
This agreement is approved as to to d content:
VAL4, NIA it 9/19/2017
Department Director's Signature
6-11crn1£507A495.._ 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 sufficienc 4tmstandards,specifications,and requirements:
Riskk. Cart e tt0 9/19/2017
Office of the Risk Management Officer 7EncEq 7RRf1(14QR Date:
Financial Services
This instrument has been pre-audited i ' 7ftlitei,required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � � Date: 9/19/2017
E-5-1-8a?.GSa-099...
Legal Services
This agreement is approved as t `i °Ab1RFda�Yd sufficiency:
b Mot S 9/19/2017
Office of the County Attorney Fpp,„„,,, 4,,a... 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 Ds