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DocuSign Envelope ID: BB860F16-9D73-4827-ACBB-6D3AB3B4E443 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: For the Moment Event Services Party/Vendor Contact Person: Maxecine Mitchell <br /> Contact Phone: 919-357-3455 Party/Vendor Address: 2416 Gemena Road City Chapel Hill State: NC <br /> Zip: 27516 Department: Economic Development Amount: $1,500.00 Purpose: Business Investment <br /> Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techni PPfi°1� dycontent: <br /> 5 We $� 10/27/2015 <br /> Department Director's Signature 8,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 /> DocuSigned by: <br /> This agreement is approved for sufficiency CTkgVsuraDg sta ff ards, specifications, and requirements: <br /> i�UT 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 7D4E5,81ACC1409-, Date: <br /> Legal Services <br /> This agreement is approved as to gaPi9x14e $'d sufficiency: <br /> �auxt S 1�v'F 10/27/2015 <br /> Office of the County Attorney 826DC48o549A4F5... 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 />