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DocuSign Envelope ID: C5144EAF-A28E-4D5C-9EF2-DE06CC1 137C83 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill-Carrboro Public School Foundation Party/Vendor Contact Person: Lynn <br /> Lehmann Contact Phone: 919/968-8819 Party/Vendor Address: P.O. Box 877 City Carrboro State: NC Zip: <br /> 27510 Department: EDC - Arts Commission Amount: $1,500 Purpose: Spring 2015 Arts Grant Award Budget <br /> Code(s): 37601020 683000 Vendor#58283 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of Coupty Coup Manager's <br /> signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by BOCC -June <br /> 16,2015 <br /> This agreement is approved as to to uAmmmd content: <br /> Department Director's Signature Sic $� Date: 6/19/2015 <br /> �eBaE�ae7 e€ai ... <br /> Information Technologies <br /> (Applicable only to hardware/softivare purchases or related seii,ices)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 sufficiency �Wpg%gtandards,specifications,and requirements: <br /> aura (hm,&b 6/19/2015 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF9 T7 ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSignne�d�by: <br /> � <br /> A UL to D".�bin, <br /> Office of the Chief Financial Officer � Date: 6/19/2015 <br /> z��DFFe�eFZxaar ... <br /> LeL4al Services <br /> This agreement is approved as to "srn":sufficiency: <br /> Office of the County Attorney 4"� �1 Date: 6/19/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Doll loyd a orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> 5 <br /> Revised June 2015 <br />