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DocuSign Envelope ID:62732635-13D1-4A6A-BDF5-1579BDDC1626 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Town of Carrboro, Recreation & Parks Party/Vendor Contact Person: Rah Trost Contact <br /> Phone: 919-918-7367 Party/Vendor Address: 100 North Greensboro St City Carrboro State: NC Zip: 27510 <br /> Department: Art Commition Amount: $1,500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): <br /> 37601020-683000 Vendor#42884 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No[] Contract <br /> Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date_ Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to tec �ne�$Yl content: <br /> $�cvc $�a.x <br /> Department Director's Signature Date: 8/14/2016 <br /> a&y <br /> Information Technolosies <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 ijjsjgj %ystandards, specifications,and requirements: <br /> Q�Sa r,Orv�c X16 8/15/2016 <br /> Office of the Risk Management Officer Date: <br /> r�aseea ... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: F cuSigned by: <br /> Office of the Chief Financial Officer � Date: 8/15/2016 <br /> �B&C-r1S4RC61409... <br /> Legal Services <br /> This agreement is approved as to rp Q46ftw sufficiency: <br /> Office of the County Attorney Date: 8/15/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 /> 5 <br /> Revised June 2015 <br />