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DocuSign Envelope ID:6C7481ED-CO2A-4C8F-8C27-60EB29F5963C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Chapel Hill Public School Foundation Party/Vendor Contact Person: Nancy Zeman Contact <br /> Phone: 919-967-8211x28376 Party/Vendor Address: 106 Qualview Dr. City Chapel Hill State: NC Zip: 27516 <br /> Department: Art Commition Amount: $1,500 Purpose: Spring 2016 A rts Grant Award Budget Code(s): <br /> 37601020-683000 Vendor#58283 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ No® Contract <br /> Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date _ Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to tec"ofiMmed*r1 content: <br /> llt)4EFAe 94"Il <br /> Department Director's Signature � Date: 8/11/2016 <br /> s-B o... <br /> Information Technologies <br /> (Applicable only to hardwarelsofhvare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency o '�a {#;gi idards, specifications, and requirements: <br /> a�iSa Cbv>tic,t16 <br /> Office of the Risk Management Officer Date: 8/11/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 8/11/2016 <br /> e$E51s��eer:e ... <br /> Legal Services <br /> This agreement is approved as to 1 DMrl9ffA&ysufficiency: <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 @ Dolloyd(a)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 /> 5 <br /> Revised June 2015 <br />