Orange County NC Website
DocuSign Envelope ID: 38C3356F-77B1-42A1-8871-9CD090A9AB79 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: MCDougle Elementary School PTA Party/Vendor Contact Person: Rachael Cruickshank <br /> Contact Phone: 919/270-9696 Party/Vendor Address: 890 Old Fayetteville Road City Chapel Hill State:NC Zip: <br /> 27516 Department: EDC - Arts Commission Amount: $600 Purpose: Spring 2015 Arts Grant Award Budget <br /> Code(s): 37601020 683000 Vendor#2226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date date of County Manager's <br /> signature Approved by Board Yes® No❑ Agenda Date: approval of FY16 county budget by BOCC - June <br /> 16,2015 <br /> This agreement is approved as to tec fi�aath xontent: <br /> Department Director's Signature Sic $� Date: 6/18/2015 <br /> Information Technologies <br /> (Applicable only to harchvare/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 sufficiency �arqaseb�tandards, specifications,and requirements: <br /> aura, (hm,&b 6/22/2015 <br /> Office of the Risk Management Officer FDC-F91-76&60 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 /> Office of the Chief Financial Officer 6/22/2015 <br /> DFFE26FA84�B... Date: <br /> Legal Services <br /> This agreement is approved as to sufficiency: <br /> Office of the County Attorney 11� 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 Cleric to the Board Date: <br /> 5 <br /> Revised June 2015 <br />