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DocuSign Envelope ID: F91 CE8F7-37AE-4D5A-AED4-B1 E2AED21 F77 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carrboro Elementary School Party/Vendor Contact Person: Jennifer Halsey Contact Phone: <br /> 9199683652 Party/Vendor Address: 400 Shelton St City Carrboro State: NC Zip: 27510 Department: <br /> COUNTYMGR/Arts Commission Amount: 1635.17 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020- <br /> 683000 Vendor# 55897 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/1/19 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to to i fi� mnd content: <br /> �V,Ms �Vtu, 10/1/2019 <br /> Department Director's Signature Date: <br /> QA3FA't R 1_. <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 sufficient ioau omeystandards,specifications,and requirements: <br /> 9US& C�b 10/10/2019 <br /> Office of the Risk Management 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: F�11N <br /> CUSigned by: <br /> ma <br /> Office of the Chief Financial Officer oaln Date: 10/10/2019 <br /> Legal Services <br /> This agreement is approved as t RtcWWchhd sufficiency: <br /> Office of the County Attorney 44�,4 hou— Date: 10/10/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a oran cg countync. og_v <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 />