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DocuSign Envelope ID:497FDDEC-E5CE-4B68-89CB-4FEB20D1 E43A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Presbyterian Church Party/Vendor Contact Person: Bob Brizendine Contact <br /> Phone: 919/732-3131 Party/Vendor Address: P.O. Box 717, 102 West Tryon Street City Hillsborough State: NC <br /> Zip: 27278 Department:EDC-Arts Commission Amount: $225 Purpose: Spring 2015 Arts Grant Award Budget <br /> Code(s): 37601020 683000 Vendor# (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 ' alcf� d content: <br /> Sit $� <br /> Department Director's Signature Date: 6/22/2015 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related sewices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiencCL�"'AW,%$andards,specifications,and requirements: <br /> a, (hm,&b 6/22/2015 <br /> Office of the Risk Management Officer Date: <br /> BCF�M 9H64 S j 8... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigne� bin, <br /> d�by: <br /> � <br /> A U� <br /> Office of the Chief Financial Officer P to D".� Date; 6/22/2015 <br /> oF�czc�-ae-rr ... <br /> Legal Services <br /> This agreement is approved as to fealm-n ad sufficiency: <br /> Office of the County Attorney 44j11� Date: 6/23/2015 <br /> 4u6oubbju4u�4A9.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecount ny c.g_ov <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 />