R 2016-243-E Aging - Marisa Martini for Master Aging Plan Summer Intern

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DocuSign Envelope ID: D666A894-BFFB-4111-8D4B-404A52D1 3C1 1 ORANGE COUNTY-DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Marisa Martini Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 111 Howell St., Apt GI City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $3,200 Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor#63774 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 05/09/16 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to technical form and content: DuSigned by: Department Director's Signature 5:(& fi�v Date: 5/3/2016 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: FaDocuSigned by: 11ii Office of the Risk Management Officer llSA. (hnt''al6 Date: 5/3/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner rW.tured by the Local Government Budget and Fiscal Control Act: ocuSigned Office of the Chief Financial Officer Fel� `�°'�"��°'L Date:5/6/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to leg o formeaanbd sufficiency: Office of the County Attorney � 4, Date: 5/10/2016 4035CB8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov 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 1/16 4