R 2018-514 DEAPR - Nina Maier tai chi instruction.doc

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DocuSign Envelope ID: OE4EEF81 -49B1- 4127- AOCD- 627721D6COA4 ORANGE COUNTY - DEPARTMENT USE ONLY Department Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: (919)732-2711 Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR- Recreation Amount: $2,195.20 Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor # 51178 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Sept. 4, 2018 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to to DocuSigned by: >nt: SfG 8/25/2018 Department Director's Signature 611cFA1D507A495... 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 sufficienc DocuSigned by: Musa, Cbvin.t 6 Office of the Risk Management Office 7FDCF8178800498... rds, specifications, and requirements: Financial Services This instrument has been pre- audited i DocuSigned by: Office of the Chief Financial Officer el-cit A.&I. 7NE5181ACC1469... This agreement is approved as t DocuSigned by: Office of the County Attorney EAAM33ED8A8485... Date: 8/26/2018 the Local Government Budget and Fiscal Control Act: Legal Services iciency: Clerk to the Board 8/26/2018 Date: Date: 8/27/2018 Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollAorangecount. n�c.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 10/17 (Mgr appry 5k 6/18) 2 DS