HomeMy WebLinkAboutR 2019-592 DEAPR - Elena Marinana piano instruction DocuSign Envelope ID:04427790-FOA9-465F-A8FA-F93F2F47785C
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 919.943.6451
Party/Vendor Address: 3213 Anandale Rd. City Durham State: NC Zip: 27705 Department: DEAPR-Recreation
Amount: $1,000.00 Purpose: Piano Instruction Budget Code(s): 10511020 630000 Vendor # 61078 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date Sept. 9,2019 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
awl gawa 8/28/2019
Department Director's Signature 611CFA1D507A405.. Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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 sufficient, -Qocusigned by: ds, specifications,and requirements:
QuSa L.Qw�f�b 8/28/2019
Office of the Risk Management Officer_ 7FDCFe17Es0o4s8. Date:
Financial Services
This instrument has been pre-audited i DocuSigned by: the Local Government Budget and Fiscal Control Act:
0 8/30/2019
Office of the Chief Financial Officer[7D4E5aa1ACC14.. Date:
Legal Services
This agreement is approved as tcDEAA,D,,ED.A.,_
DocuSigned by: iclency:
61L t. P Y s 9/3/2019
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: singersoll@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 12/18 4
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