R 2015-619-E ED - Susan Laswell - Agricultural Grant Agreement

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DocuSign Envelope ID:A61 F1 3B3-D4A4-4A4C-872D-5648F7AD948D ORANGE COUNTY—DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Susan Laswell Party/Vendor Contact Person: Susan Laswell Contact Phone: 919-740-7653 Party/Vendor Address: 2332 Western Park Lane City Hillsborough State: NC Zip: 27278 Department: Economic Development Amount: $1,000.00 Purpose: Agricultural Grant award Budget Code(s): 34600020-900050 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New Renewal❑ Amendment ❑ Effective Date 12/3/15 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to tec 9ve $gkWvtTA%d content: Department Director's Signature 444- c� Date: 12/3/2015 r-7BE)4EFAe1BE4-1-E)...te Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency-of6matuataystandards,specifications,and requirements: Q�ISArbvwc 1t0 12/7/2015 Office of the Risk Management Officer F-nr Q-V-UCgggg Date. Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: (:�uSig ned by: Office of the Chief Financial Officer Date: 12/7/2015 E-5-1-8a?.GSa4o g... Legal Services This agreement is approved as to '""P"sufficiency: ,�auxt,S V' a.ln, Office of the County Attorneya �� Date: 12/8/2015 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecoun.nc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: