HomeMy WebLinkAboutR 2019-043 Aging - Arlene Bynum-Mills fitness instructor DocuSign Envelope ID:AAB8A729-BEDF-4F5C-9AAD-7D449E68FC28
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Arlene Bynum-Mills Party/Vendor Contact Person: Contact Phone:
Party/Vendor Address: 4816 Barbee Rd City Durham State: NC Zip: 27713 Department: Aging Amount:
9 0000 Purpose: fitness studio Budget Code(s): 10430020-630120 Vendor # 64460 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑
Effective Date 01/20/2019 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature�IUE962MBF454=A.
�tu_ _b+' Date:l/27/2019
.
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:
Office of the Risk Management Officer �USa �,bV1n.C,{�6 Date:1/28/2019
7FDCF9176900498.
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 (' 0 � Date: 1/30/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ��,�� f�ay� Date:
1/30/2019
4035CB8304CA4Ae
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg solIkoran eg countync•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 10/17
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