R 2017-337-E Aging - Katrice Hester for wellness instructor

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DocuSign Envelope ID:AEE4F3FE-D5B5-42A5-8AE4-F57FB7BA7945 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Katrice Hester Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 5127 Copper Ridge Dr.,Apt 105 City Durham State: NC Zip: 27707 Department: Aging Amount: $2,500 Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 720/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: /^—^—DocuSigned by: Department Director's Signature J 10-- � Date: 7/20/2017 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: r---DocuSigned by: Office of the Risk Management Officer MS& Cbb Date: 7/21/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: , ---DocuSigned by: 7/21/2017 Office of the Chief Financial Officer rl 4,1-41.1~- Date: `—7D4E5181 ACC 1409... Legal Services This agreement is approved as to legal form and sufficiency: p--DocuSigneed,by�:♦-. County Attorney ate, hark, 1 scb 7/24/2017 Office of the Coun Attorne Date: `—079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 2/17 5