Orange County NC Website
DocuSign Envelope ID:6CA4CFF0-E42B-451 F-892F-164653D2CF39 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Mary Carter Taub Party/Vendor Contact Person: Mary Carter Taub Contact Phone: 415-359- <br /> 3798 Party/Vendor Address: 131 Kiley St City Chapel Hill State: NC Zip: 27516 Department: Art Commition <br /> Amount: $1,000 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683001 Vendor # 60389 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date- Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec L59,0zv content: <br /> Department Director's Signature Date: 8/16/2016 <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 sufficiencr!",91"fij o.§Jandards, specifications,and requirements: <br /> a r,Orv�c,�16 8/16/2016 <br /> Office of the Risk Management Officer Date: <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: 8/16/2016 <br /> Legal Services <br /> This agreement is approved as to le f iand'sufficiency: <br /> Office of the County Attorney 1`�� Date: 8/17/2016 <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 />