Orange County NC Website
DocuSign Envelope ID: 3E8A5293-0852-4E93-BDFD-B72F5E1970C7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Parry/Vendor Name: Four Leaf Farm Party/Vendor Contact Person: Tim MacAller Contact Phone: 919-644-6535 <br /> Parry/Vendor Address: 6815 Bill Poole Rd City Rougemont State: NC Zip: 27572 Department: Economic <br /> Development Amount: $9,910.00 Purpose: Agricultural Investment Grant award Budget Code(s): 34600020- <br /> 900050 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/12/15 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to to t�fsr�nd content: <br /> Steve $ <br /> Department Director's Signature Date: 8/19/2015 <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 /> This agreement is approved for sufficiency dg6% "" gy5tltandards, specifications,and requirements: <br /> Q�ISA.rbvwc,ltb <br /> Office of the Risk Management Officer Date: 8/20/2015 <br /> 7F6CFg17 ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSignn �e�d�bby:: <br /> Office of the Chief Financial Officer p Date: 8/21/2015 <br /> z�z�FezeFaerr ... <br /> Legal Services <br /> This agreement is approved as to ^�f -gind sufficiency: <br /> Jet S <br /> Office of the County Attorney 1 rr& Date: 8/21/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion A Dollov�c�oran,e ecountync.ayo v <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 />