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DocuSign Envelope ID: 5458DB77-2A09-49AA-8780-A2B5598E356E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Tinka Jordy Contact Phone: <br /> 919/643-0400 Party/Vendor Address: 102 N. Churton Street City Hillsborough State: NC Zip: 27278 <br /> Department: EDC -Arts Commission Amount: $1,500 Purpose: Spring 2015 Arts Grant Award Budget Code(s): <br /> 37601020 683000 Vendor# 19946 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's si nature <br /> Approved by Board Yes®No❑ Agenda Date: approval of FY16 county budget by BOCC-June 16,2015 <br /> This agreement is approved as to tec f��gngi nd content: <br /> Steve $ <br /> Department Director's Signature Date: 6/18/2015 <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 iosa�tamu gandards, specifications,and requirements: <br /> Q�ASA. rbVlrt,t�0 6/22/2015 <br /> Office of the Risk Management Officer ca <br /> sego Date: <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 /> � <br /> ,A+bV. <br /> Office of the Chief Financial Officer rNAL Date: 6/22/2015 <br /> DFFCZCFK647 ... <br /> Legal Services <br /> This agreement is approved as to fcam�amd sufficiency: <br /> Office of the County Attorney 44� �1� 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 @ Dolloyd@oranQecountync.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 />