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DocuSign Envelope ID:9D6F5064-6AFF-4D28-A29D-96FEBA3ECC9E <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chillsboro, LLC Party/Vendor Contact Person: John Cooley Contact Phone: 919- <br /> 960-1906 Party/Vendor Address: 140 W. Franklin Street—Unit 418 City Chapel Hill State: NC Zip: <br /> 27516 Department: Economic Development Amount: $5,000.00 Purpose: Business Investment Grant <br /> Award Budget Code(s): 34600020-900051 Vendor #N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techni � � yeontent <br /> Sit $� 10/27/2015 <br /> Department Director's Signature 3�eD4EFAC,aE4,o... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br /> and is 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 sufficienc o in a ance �tandards, specifications, and requirements: <br /> US& �6Vitit�O 10/27/2015 <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 <br /> Control Act: DOCUSigned by: <br /> 10/27/2015 <br /> Office of the Chief Financial Officer ,D4E5,81ACC1409_. Date: <br /> Legal Services <br /> This agreement is approved as to P328DC480549A4F5 T°fMift7 �d sufficiency: <br /> MLS bryw& 10/27/2 015 <br /> ffi Oce 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 @ <br /> Dolloyd&orane ecountvnc.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 /> OCEDbiga July 2015 <br />