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DocuSign Envelope ID: D1176414-106C-4BB9-8573-4A6D5AFB213D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Short Winter Soups, LLC Party/Vendor Contact Person: Tova Boehm Contact <br /> Phone: 919-619-3616 Party/Vendor Address: P.O. Box 875 City: Carrboro State: NC Zip: 27510 <br /> Department: Economic Development Amount: $5,000.00 Purpose: Business Investment Grant Award <br /> 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 May <br /> 15,2019 Approved by Board Yes ❑ No ❑ Agenda Date: <br /> This agreement is approved as to techn' ' ocusigned b : ',ent: <br /> [�:,EFAME410. <br /> 6/20/2019 <br /> Department Director's Signature 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 sufficienc, -Docuslgned by: ards, specifications, and requirements: <br /> Q�Sa t,DVln.tr�b 6/20/2019 <br /> Office of the Risk Management Officer 7FDCF9176900498. 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: 11 S-gned by: <br /> oc'u <br /> 4 " 6/21/2019 <br /> Office of the Chief Financial Officer[7o4E51&1ACCAN- Date. <br /> Legal Services <br /> This agreement is approved as tc ' DoeuSigned by: ' fficiency: <br /> D <br /> W,S �. 6/24/2019 <br /> Office of the County Attorney328DC4W549A4F5.. Date: <br /> Clerk to the Board <br /> Received for record retention: All DocuSign contracts must be copied to Sherri Ingersoll upon <br /> completion @ Sin erg sollkoran eg countync.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 />