Orange County NC Website
Browse       Search
DocuSign Envelope ID: EFCD6537-BEA4-41F3-8680-FA37D42AB8E1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nancy DeDe Banks Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 747 Rock Rest Road City Pittsboro State: NC Zip: 27312 Department: Aging Amount: $1,800 Purpose: <br /> wellness instructor Budget Code(s): 29430320-630000 Vendor# 55776 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment El Effective Date July 1 <br /> 2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical f(�rm gnd content: <br /> ^^43ocua�lgned by: <br /> Department Director's Signature JA�'lu' fi�,lr Date: 6/24/2015 <br /> B7E962D1BF454FA... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of ir�sur�nce�Standards,specifications,and requirements: <br /> ocu igne'"y <br /> Office of the Risk Management Officer Q�1SA rbV17t t 0 Date: 6/25/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer <br /> �AU� (,A.IA byu Date:6/25/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 6/25/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 4 <br />