HomeMy WebLinkAboutR 2017-595-E Aging - Valerie Roberts - class instructor DocuSign Envelope ID: 7E4F17AD-3D24-4CFD-B460-2016824BE3E0
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1501 Kirkwood Drive City Durham State: NC Zip: 27705 Department: Aging Amount: $3.000 Purpose:
Class Instructor Budget Code(s): 10430120-629000 Vendor # 61484 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
10/01/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature iatn,o- fii Date: 10/24/2017
B7E962D1 BF454FA...
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:
DocuSigned""by:
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Qtis& (,6vvte tt0 10/25/2017
Office of the Risk Management Office Date:
7FDCF9176800498...
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 (21,61 0 .i. Date: 10/25/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:ign
Office of the County Attorney 10/25/2017
y y �; � Date:
4035CB8304CA4A9...
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