R 2016-274-E Aging - Stephanie Miller for Master Aging Plan Summer Intern

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DocuSign Envelope ID:4EB029EC-C8D6-42D5-86F9-ED93750F8D75 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Stephanie Miller Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 101 Cheswick Court City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000 Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor # 63773 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 05/17/16 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to technical farm end content: ocu igne by: Department Director's Signature � '�� Date: 5/16/2016 67E962D18F454FA... Information Technolosies (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: Docu5igned by: Office of the Risk Management Officer USA. (,6nAA 111i 6 Date: 5/17/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in th rWVAWngguired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer °'�" °'v Date: 5/31/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney In,_ Date: 5/31/2016 4035CE8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 1/16 4