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DocuSign Envelope ID:470DF5EE-A79D-4E51-9C8F-E763A28357EC <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Tin Can Ventures LLC/DBA Boxcarr Handmade Cheese Party/Vendor Contact <br /> Person: Austin Genke Contact Phone: 919-593-1026 Party/Vendor Address: 2207 Carr Store Road <br /> City Cedar Grove State: NC Zip: 27231 Department: Economic Development Amount: $10,000.00 <br /> Purpose: Business Investment Grant Award Budget Code(s): 34600020-900051 Vendor#N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda <br /> Date: <br /> This agreement is approved as to techni � iyeontent <br /> Sic $� 10/28/2015 <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 �� ` $� andards, specifications, and requirements: <br /> a so, Vi�t�CO 10/28/2015 <br /> Office of the Risk Management Officer ,FDCF9178800498_. 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 /> 10/28/2015 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to P328DC480549A4F5 T°fMift7W sufficiency: <br /> MLS bryw& 10/28/2 015 <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 /> DolloydLa)oran orange countny. c.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 /> OCEDbiga July 2015 <br />