HomeMy WebLinkAboutR 2018-345 Aging - William Meyers wellness instructorao I q - �`fS
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: William Meyers Party /Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1204 Little Creek Rd City Durham State: NC Zip: 27713 Department: Aging Amount: $500 Purpose:
wellness instructor Budget Code(s): 29430320 - 630000 Vendor # 56366 (N /A if new vendor) Vendor is a BOC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
7/01/2018 Approved by Board Yes❑ Non Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: Y J -le
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer a-zl-
- Date:
- U
Financial Services
This instrument has been pre- audited in the ne r ired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 8
Legal Services
This agreement is approved as to legal forip an ficiency:
Office of the County Attorney Date:������
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg_ soil a,orangecountync.g ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board `� Date: 04i �f
Revised 10/17 5