R 2015-358-E DEAPR - Nina Maier for tai chi instruction

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DocuSign Envelope ID: FE267327-3BDB-40CA-BA20-4214FAEF2146 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2722 Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $2464.00 Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor 4 51178 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical fo a D ocu8i ened by: N'IA'a 7/27/2015 Department Director's Signature 611CFA1 D507A495... Date: 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 i curds,specifications,and requirements: Q�ASA. r,6vvt,e,tt0 Office of 7 the Risk Management Officer ,FnrFOl7�80DA98m Date: 7/27/2015 Financial Services DocuSigned by: This instrument has been pre-audited in th[T232DFFC2CFA847B rruud�er re u d by the Local Government Budget and Fiscal Control Act: ,2 re M 7/27/2015 Office of the Chief Financial Officer . Date: {� Legal Services 1 foYYYlned b This agreement is approved as to r[=AA3D33ED8A8465�� c�sl}�ficiency: t�'� 7/27/2015 Office of the County Attorney ... Date: 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 ff