Orange County NC Website
DocuSign Envelope ID: CE9836B7-F6D3-492A-B86B-3BDO6E3DBFBF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2711 Party/Vendor <br /> Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $1.792.00 <br /> Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor# 51178 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to d content: <br /> VAL4, NIA it 9/19/2017 <br /> Department Director's Signature <br /> 6-11crn1£507A495.._ Date: <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 sufficienc 4tmstandards,specifications,and requirements: <br /> Riskk. Cart e tt0 9/19/2017 <br /> Office of the Risk Management Officer 7EncEq 7RRf1(14QR Date: <br /> Financial Services <br /> This instrument has been pre-audited i ' 7ftlitei,required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � � Date: 9/19/2017 <br /> E-5-1-8a?.GSa-099... <br /> Legal Services <br /> This agreement is approved as t `i °Ab1RFda�Yd sufficiency: <br /> b Mot S 9/19/2017 <br /> Office of the County Attorney Fpp,„„,,, 4,,a... Date: <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 2/17 5 Ds <br />