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DocuSign Envelope ID: EE92BA24-A67F-4F4A-8067-F8FOEF642894 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Maria Britton Party/Vendor Contact Person: Maria Britton Contact Phone: 919709841 <br /> Party/Vendor Address: 400 Davie Rd#55 City Carrboro State:NC Zip: 27510 Department: COUNTYMGR/Arts <br /> Commission Amount: 1449.25 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020-683001 Vendor#65822 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 10/1/19 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to to .��^ocu5igned by: ;nt: <br /> 1�aW5 � <br /> Department Director's Signature Date: 10/1/2019 <br /> 0A3E81B12B364Bd . <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 /> This agreement is approved for sufficiency of inc„rnnce ctnndgrds,specifications,and requirements: <br /> Wcu5igned by: <br /> Office of the Risk Management OfficerC§USa Lp�b Date:10/2/2019 <br /> 7FDCF91768004M. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> 10/2/2019 <br /> Office of the Chief Financial Office Date: <br /> Cr7NE5181A=400. <br /> Legal Services <br /> This agreement is approved as t Doc'usigned by: ' ncy: <br /> Office of the County Attorne � �. °}"' - Date10/2/2019 <br /> 4035CB8304CA4M <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg count nc.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 /> 6 <br /> Revised July 2018 <br />