Orange County NC Website
DocuSign Envelope ID:A7727B66-61C4-4CF0-B5C2-7D85DDAD0815 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Two Mini Donkeys, LLC Party/Vendor Contact Person: John Schlick Contact Phone: 919- <br /> 240-5423 Party/Vendor Address: 106A North Graham Street City Chapel Hill State: NC Zip: 27516 <br /> Department: Economic Development Amount: $2,500.00 Purpose: Business Investment Grant Award Budget <br /> Code(s): 34600020-900051 Vendor# N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New® Renewal ❑ Amendment ❑ Effective Date August 16, 2016 Approved by <br /> Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> L41:FAG1-RE-+19 5igned by: <br /> $444-#A9, 8/19/2016 <br /> Department Director's Signature Date: <br /> Information Technologies <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 71� �i and ards, specifications, and requirements: <br /> Office of the Risk Management Officer .7 Dat e: 8/19/2016 <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 /> Er l ` °n" a°'L 8/19/2016 <br /> Office of the Chief Financial Officer 7 4F51R1AQ.C14nq Date: <br /> Legal Services <br /> This agreement is approved as to 0f6i aYYd sufficiency: <br /> 7�4.L.y lit,S 15 av Office of the County Attorney Date: 8/19/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Donna Lloyd upon completion @ DolloydCc�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 />