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DocuSign Envelope ID: 75DCDCOD-6895-4D01-9BF9-B9673F3C2D63 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Philip Cooley Contact Phone: <br /> 919/643-2500 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 signature <br /> Approved by Board Yes®No❑ Agenda Date: approval of FYI county budget by BOCC-June 16,2015 <br /> This agreement is approved as to tec a;�kat%d content: <br /> Department Director's Signature Sic $zas•� Date: 6/18/2015 <br /> ate, ... <br /> Information Technologies <br /> (Applicable only to hara vare/sofh-vane purchases or related sevices)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 �g }�;� ��,, tandards, specifications,and requirements: <br /> Q�ASA rbVht t0 6/22/2015 <br /> Office of the Risk Management Officer FDCF9-T7 Date: <br /> ... <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 /> DFFrzcF-ae-rr ... <br /> Legal Services <br /> This agreement is approved as to ofwwww sufficiency: <br /> Office of the County Attorneys Date: 6/23/2015 <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountyne.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 />