Orange County NC Website
DocuSign Envelope ID: C25871 BE-4AEB-44BA-97EF-90CC85472D56 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Music Maker Relief Foundation Party/Vendor Contact Person: Denise Duffy Contact Phone: <br /> 919/642-1456 Party/Vendor Address:P.O.Box 1358 City Hillsborough State:NC Zip: 27278 Department: EDC <br /> -Arts Commission Amount: $1,500 Purpose: Springy;2015 Arts Grant Award Budget Code(s): 37601020 683000 <br /> Vendor#57180 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's signature Approved by Board <br /> Yes®No❑ Agenda Date: approval of FYI county budget by BOCC-June 16,2015 <br /> This agreement is approved as to to tAiirmajad content: <br /> Department Director's Signature Steve $zas•� Date: 6/20/2015 <br /> 7e04EFA-C1-BE-41 .. <br /> Information Technologies <br /> (Applicable only to hardtivare/sofhvare 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 sufficiencyp,§tandards, specifications, and requirements: <br /> Office of the Risk Management Officer raus"01-1 <br /> r,6vvt,e b i-� Date: 6/22/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSign�e�d�bby::� <br /> Office of the Chief Financial Officer � Date: 6/22/2015 <br /> Legal Services <br /> This agreement is approved as to l ffmm-g 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 @ Dolloyd@orangecountync.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 />