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DocuSign Envelope ID:93E8DFEA-2589-4FBB-AD00-88DACE83A85D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Grady A. Brown Elementary School PTA Party/Vendor Contact Person: Tracy Thomas <br /> Contact Phone: 919/360-2361 Party/Vendor Address: 1100 New Grady Brown School Road City Hillsborough <br /> State: NC Zip: 27278 Department: EDC - Arts Commission Amount: $1,000 Purpose: Spring 2015 Arts Grant <br /> Award Budget Code(s): 37601020 683000 Vendor#40100 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date date of County <br /> Manager's signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by <br /> BOCC-June 16,2015 <br /> This agreement is approved as to tee ' alcfatm at%d content: <br /> � <br /> Department Director's Signature 540c $ Date: 6/18/2015 <br /> -awn ­ <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 sufficiency of do�r , 4"standards,specifications,and requirements: <br /> E oc r,e yt 0 6/22/2015 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> � L �,,a+61V, <br /> Office of the Chief Financial Officer Date: 6/22/2015 <br /> FC"ZCF4E4"7 ... <br /> Legal Services <br /> This agreement is approved as to al,6m neaml sufficiency: <br /> Office of the County Attorney Date: 6/23/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran-cecountync.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 />