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DocuSign Envelope ID:7080DFC8-BA1A-47A9-9950-70B5EADA298B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person: Heather Delisle Contact Phone: <br /> 919-643-2500 Party/Vendor Address: 102 N Churton St City Hillsborough State: NC Zip: 27278 Department: <br /> Art Commition Amount: $1.500 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683000 <br /> Vendor# 19946 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date- Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to oatUfig and content: <br /> Department Director's Signature 54vc $444-x&Y Date: 8/12/2016 <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�ffb7e�"tt!.04 standards, specifications,and requir dt�f�3igned by: <br /> �xft6 aUSX rbV t t t{{b <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: <br /> 8/16/2016 <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as tojcgaLS6qxtaAd sufficiency: <br /> Office of the County Attorneys Date: 8/17/2016 <br /> 403 CB83D4CA4A9... <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 />