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DocuSign Envelope ID: F859AB28-066D-45E9-BB24-D873BDC015A0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Deep Dish Theater Company Party/Vendor Contact Person: Paul Frellick Contact Phone: <br /> 919/968-1515 Party/Vendor Address: P.O. Box 4382 City Chapel Hill State: NC Zip: 27515-4382 Department: <br /> EDC - Arts Commission Amount: $5,000 Purpose: Spring 2015 Arts Grant Award Budget Code(s): 37601020 <br /> 683000 Vendor#48379 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved <br /> by Board Yes®No❑ Agenda Date: approval of FY16 county budget by BOCC-June 16,2015 <br /> This agreement is approved as to tec udcfo �w�content: <br /> Lt7BD4E-FAC1-BE1*1 e $ <br /> Department Director's Signature 944*44 Date: 6/19/2015 <br /> ... <br /> Information Technologies <br /> (Applicable only to hardrvare/softivare 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 sufficiency ra,h8&y am@[4.ann1dards,specifications,and requirements: <br /> US& rbvvt,e b 6/19/2015 <br /> Office of the Risk Management Officer Date: <br /> FBCFA'17G9ffb1 g 8... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DuSignne�d�by: <br /> � <br /> � to D".�bin, <br /> Office of the Chief Financial Officer Date: 6/19/2015 <br /> Di=�ege�asa-r ... <br /> Legal Services <br /> This agreement is approved as to b& n":sufficiency: <br /> Office of the County Attorney 4"J41� 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 @ Dolloyd@or•angecountync.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 /> 5 <br /> Revised June 2015 <br />