R 2015-211-E Aging - Mary Wangen for MAP summer intern

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DocuSign Envelope ID: 550D4A40-4DD6-48EA-8667-C368926E38EE ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Mary Wangen Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 100 Raven Ln. City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,000 Purpose: MAP Summer Intern Budget Code(s): 10430020-630120 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Maw 2015 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to tecIpicalfarAlogd content: Department Director's Signature �y Date: 5/13/2015 B7E962D1BF454FA... 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: ''1L QllStU (hVV,&b Office of the Risk Management Officer Date: 5/14/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in th .mgAW,�jgpired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer PMA bV' Date: 5/14/2015 232DFFC2CFA847B... Legal Services This agreement is approved as to le p�%m j.sufficiency: Office of the County Attorney 1� Date: 5/14/2015 4035CB8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v 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 10/14 4