Orange County NC Website
DocuSign Envelope ID: F6F24E9A-E685-4D51-AA37-BB7ACA9A687F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The ArtsCenter Party/Vendor Contact Person: Jeri Lynn Schulke Contact Phone: 919/929- <br /> 2787 Party/Vendor Address: 300-G East Main Sheet City Carrboro State: NC Zip: 27510 Department: EDC - <br /> Arts Commission Amount: $1,500 Purpose: Spring 2015 Ails Grant Award Budget Code(s): 37601020 683000 <br /> Vendor# 5383 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date date of Coun. 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 tec ' f dwd content: <br /> Department Director's Signature S4vc $zas•x�c� Date: 6/26/2015 <br /> Information Technologies <br /> (Applicable only to hardware/softivare 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 ,1W&�tandards, specifications,and requirements: <br /> Q�ASA <br /> Office of the Risk Management Officer rbVlit b Date: 6/27/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigne� bin, <br /> d�by: <br /> � <br /> Office of the Chief Financial Officer pA UL to D".� Date: 6/29/2015 <br /> zszD��eze�aev-7 ... <br /> Legal Services <br /> This agreement is approved as to ab&W-dnft sufficiency: <br /> Office of the County Attorney 1 44� �1� Date: 6/29/2015 <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 />