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DocuSign Envelope ID: E7C372F7-E3B3-416F-839D-499520E582C4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Mike's Art Truck Party/Vendor Contact Person: Greg and Karen Mack Contact <br /> Phone: 678/357-2778 Party/Vendor Address: 505 N. Scottswood Blvd. City Hillsborough State:NC Zip: <br /> 27278 Department: EDC - Arts Connnission Amount: $0 Purpose: display of art in Whitted Building <br /> Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New 0 Renewal 0 Amendment ❑ Effective Date Approved by <br /> Board Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> Docu5igned by: <br /> Department.Director's Signature Date: <br /> 6/17/2016 <br /> 37BD4EFAC1 BE410... <br /> Information Technologies <br /> i <br /> (Applicable only to hardrvore/softivare 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 sufficiency of insurance standards,specifications,and requirements: <br /> Docu5igned""by: <br /> ''��.�.. <br /> Office of the Risk Management Officer aus . rbrv�c,t16 Date: 6/17/2016 <br /> 7 FDCF9176800498... - <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 6/19/2016 <br /> 7D4E5181 ACC 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney 56'ocu �b�t Date: 6/21/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a,orangecountync.xov <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 />