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6 <br />Revised July 2018 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Voices, the Chapel Hill ChorusParty/Vendor Contact Person: Susan H. BrunssenContact <br />Phone: 9195445666Party/Vendor Address: PO Box 3011City Chapel HillState: NCZip: 27515Department: <br />COUNTYMGR/Arts CommissionAmount: $1,946Purpose: 2018-19 Arts GrantsBudget Code(s): 37601020- <br />683000Vendor # 51428(N/A ifnewvendor)Vendor is a BOCCconsultant? YesNoContract Type: <br />(Check one)NewRenewalAmendmentEffective Date 8/8/2018ApprovedbyBoardYesNo <br />AgendaDate: <br />Thisagreement is approved as to technical form and content: <br />Department Director’sSignature 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 ChiefInformationOfficer Date: <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the RiskManagement 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: <br />Office of the ChiefFinancialOfficer Date: <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of theCountyAttorney Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ 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 totheBoard Date: <br />DocuSign Envelope ID: E271EC54-B954-46F4-BCE3-9FB02C9E1328 <br /> <br /> <br /> <br />