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DocuSign Envelope ID:08EB25E1-508C-4226-ABDB-BD84E1D3FE2E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> it <br /> Department <br /> Party/Vendor Name: Mark A. Holt DBA Masterpeace Barbershop Party/Vendor Contact Person: Mark A. Holt <br /> Contact Phone: 919-240-8215 Party/Vendor Address: 407 Hwy 57 City Hillsborough State:NC Zip: 27278 <br /> Department: Economic Development Amount: $10,000.00 Purpose: Business Investment Grant. Budget Code(s): <br /> 34600020-900051 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 8/3/15 Approved by Board Yes[-]No <br /> ❑ Agenda Date: <br /> This agreement is approved as to tech"fegq i9r, content: <br /> Steve $ / <br /> Department Director's Signature � Date: 8 5/2015 <br /> Information Technologies <br /> (Applicable only to hardware/software 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 /> I <br /> This agreement is approved for sufficiency i iAte''§ta''n�1dards, specifications,and requirements: <br /> QUs& 66vvt,e 6 8/6/2015 <br /> Office of the Risk Management Officer 7FDCF9176800498... 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: <br /> DocuSigned by: <br /> � r ����(�� <br /> �AU� [A D""`bin, 8/6/2015 <br /> Office of the Chief Financial Officer 232DFFCZCFn647a... Date: <br /> Legal Services <br /> This agreement is approved as to � i�ReYI sufficiency: <br /> Auxt S AA 8/6/2015 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ 1)gfljoy iceman cc�3i nt<n�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 />