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DocuSign Envelope ID:691 FB411-244B-4FF3-B088-99D84E6923DD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carol Staton Enterprises, LLC dba Nature's Way Party/Vendor Contact Person: <br /> Carol Staton Contact Phone: 919-245-8320 Party/Vendor Address: 3006 US Highway 70E City <br /> Hillsborough State: NC Zip: 27278 Department: Economic Development Amount: $1,500.00 Purpose: <br /> Business Investment Grant Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes n No ® Contract Type: (Check one) New ® Renewal <br /> ❑ Amendment ❑ Effective Date March 3, 2017 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techni a 113? 1g ildycontent: <br /> Sic g444414, 3/3/2017 <br /> Department Director's Signature 37BD4EFAC1BE410... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br /> and is 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 flit t 1 standards, specifications, and requirements: <br /> QtiSAOVIA,t t 3/6/2017 <br /> Office of the Risk Management Officer 7El1CF9178800498_ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: DocuSigned by: <br /> (21" 3/7/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC14400 Date: <br /> Legal Services <br /> This agreement is approved as to g aPYTY iT4egii .sufficiency: <br /> itun4t,S 151/11A 1k, 3/7/2017 <br /> Office of the County Attorney 328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Donna Lloyd upon completion <br /> @ Dolloyd@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 /> OCEDbiga June 2016 <br />