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DocuSign Envelope ID: 163CB4A4-060D-4B4A-B177-75194044B707 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Maple Spring Gardens, LLC Party/Vendor Contact Person: Ken Dawson Contact <br /> Phone: 305-766-1761 Party/Vendor Address: 9812 Allison Rd. City Cedar Grove State: NC Zip: 27231 <br /> Department: Economic Development Amount: $10,000.00 Purpose: Agricultural Investment Grant award Budget <br /> Code(s): 34600020-900050 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 8/4/15 Approved by Board <br /> Yes❑Non Agenda Date: <br /> This agreement is approved as to tec ` 'Ii144& cd content: <br /> Department Director's Signature BEM Date: 12/23/2015 <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 pf irsgrA m,4andards, specifications,and requirements: <br /> QtiSatorIA {fb 12/26/2015 <br /> Office of the Risk Management Officer Date: <br /> --7FDCF9176800498... <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 /> (2141., Arutiehort <br /> Office of the Chief Financial Officer Date: 12/28/2015 <br /> 7D4E51-8 1 ACC.1469... <br /> Legal Services <br /> This agreement is approved as to h �€an :sufficiency: <br /> J t'S 12/28/2015 <br /> Office of the County Attorney Date: <br /> ;i1tfUU4u0b4yA4I-b... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.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 />