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DocuSign Envelope ID:656B4031-2A78-4EAE-AF52-9FD8893000E3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: MacMooneyland, Inc. dba Cameron's Party/Vendor Contact Person: Wendy Smith Contact <br /> Phone: 919-942-5554 Party/Vendor Address: 370 East Main Street, Suite 130 City Carrboro State: NC <br /> Zip: 27510 Department: Economic Development Amount: $2,000.00 Purpose: Business Investment Grant <br /> Award Budget Code(s): 34600020-900051 Vendor# N/A (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New® Renewal ❑ Amendment ❑ Effective Date August 16, 2016 <br /> Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Docusigned by:p,-. <br /> $'4"`x 8/19/2016 <br /> Department Director's Signature 4EFAC1 BE410... 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 /> Qocusi ned b <br /> This agreement is approved for sufficienc�17FDCF9176800498 ins I�,anc6:S�ndards, specifications, and requirements: <br /> U I,OVVt tit 8/19/2016 <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 /> SlJ2osz <br /> Office of the Chief Financial Officer � 1ACC1409... Date: 8/21/2016 <br /> Legal Services <br /> This agreement is approved as to a �fP�'t�iPI`Y hd sufficiency: <br /> c+�t S br�avu 8/21/2016 <br /> Office of the County Attorney i9Rn(.4snS4QA4F5 Date: <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 />