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DocuSign Envelope ID:53DEBE36-7231-45B8-A7CC-2442AA9665F7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kim Lane Party/Vendor Contact Person: Kim Lane Contact Phone: 9197975211 <br /> Party/Vendor Address: 4400 Regis City Durham State: NC Zip: 27705 Department: COUNTYMGR/Arts <br /> Commission Amount: 1022.04 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020-683001 Vendor#65821 <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 tecl,-;- -n„tP'lt: <br /> �U^ocuSigned by: <br /> Department Director's SignatureCOAK81BUB364N <br /> YES �M`A' Date: 10/1/2019 <br /> . <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 nfi]ocus g ea ayct""1'rds,specifications,and requirements: <br /> Office of the Risk Management Officer. &A "_� 6 Date: 10/2/2019 <br /> 7FDCF0176800408. <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 /> Docu5igned by: <br /> Office of the Chief Financial Officer 4 Date: 10/2/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to lPaal fnrm a 1111 enffiriency: <br /> [OocuSigned by: <br /> 'Office of the County Attorne + � ,aw _ Date: 10/2/2019 <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 />