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DocuSign Envelope ID: F0771097-35OA-4924-AOFC-8E914CF4621A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Two Chicks Farm, Inc. Party/Vendor Contact Person: Jenna Monk Contact Phone: <br /> (919) 357-8343 Party/Vendor Address: 155 Boone Spare Street City Hillsborough State: NC Zip: <br /> 27278 Department: Economic Development Amount: $1,495.00 Purpose: Business Investment Grant <br /> Award Budget Code(s): 34600020-900051 Vendor # N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date January 14,2019 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techr irpfoftvvffid content: <br /> Sxwd $n"#-ty 1/16/2019 <br /> Department Director's Signature ......FA(1RFd1n 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 pf-i6bmivarwtandards, specifications, and requirements: <br /> Office of the Risk Management Officer guso, (hnt,t,{fb Date: 1/23/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: F <br /> cuSigned by: <br /> 1/23/2019 <br /> Office of the Chief Financial Officer aF�a acsa�s Date: <br /> Legal Services <br /> This agreement is approved as to ^ bcfi2gdamd sufficiency: <br /> JLS ��y 1/23/2019 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Sherri Ingersoll upon <br /> completion @ Sin er�koran.eg cam, c..ov <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 <br /> OCEDbiga June 2016 <br />