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DocuSign Envelope ID: BDF2COF5-F3A3-4OF5-9C28-B3FEE005A9B6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: PTA Thrift Shop, Inc. Party/Vendor Contact Person: Barbara Jess-Black Contact <br /> Phone: 919-942-6565 Party/Vendor Address: 125 W,Main Street, Suite 100 City Carrboro State: NC <br /> Zip: 27510 Department: Economic Development Amount: $5,000.00 Purpose: Business Investment <br /> Grant Award Budget Code(s): 34600020-900051 Vendor#N/A (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date February 12,2016 Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to techni 7t, tl' ppontent:$'�'R'�`Z` � 2/17/2016 <br /> Department Director's Signature EFAC,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 sufficient o <br /> I�WNeFslindards, specifications, and requirements: <br /> SA. V b 2/17/2016 <br /> Office of the Risk Management Officer CFDCF9176800498... 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 /> rl s�ora� losz 2/18/2016 <br /> Office of the Chief Financial Officer 7D4FS,R,ACC,409 Date: <br /> Legal Services <br /> This agreement is approved as to Ht"FA'Rtid sufficiency: <br /> aylit,S 15r�� 2/18/2016 <br /> Office of the County Attorney P328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Donna Lloyd upon completion @ <br /> Dolloydkoran eg countync.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 />