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DocuSign Envelope ID:447F8F1E-35AE-4880-BAFO-5OB62E21648E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Jillian Mickens DBA Open Door Farm Party/Vendor Contact Person: Jillian Mickens <br /> Contact Phone: 919-889-1299 Party/Vendor Address: 3116 Carr Store Road City Cedar Grove State: NC Zip: <br /> 27231 Department: Economic Development Amount: $9,691.00 Purpose: Agricultural Grant award Budget <br /> Code(s): 34600020-900050 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 12/3/15 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec �o ifeglid content: <br /> r37BD4FFAG1teve $ <br /> Department Director's Signature Date: 12/3/2015 <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 itaswiwwaMandards,specifications,and requirements: <br /> Q�ISArbvwc 1t0 12/7/2015 <br /> Office of the Risk Management Officer �9sFS �ea9a9s 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: DocuSigned by: <br /> Office of the Chief Financial Officer � � Date: 12/7/2015 <br /> e4C§1-8a-AE£a�a9... <br /> Legal Services <br /> This agreement is approved as to(+q�WfvffiwrAftx1 sufficiency: <br /> t, j�jV'c�A.ln, <br /> Office of the County Attorney auxS Date: 12/8/2015 <br /> DE4&95&9,44RE; <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d )oran ecountvnc.g <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 />