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DocuSign Envelope ID: DD10E9D8-5EB0-4AA8-8356-E036F811D027 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Montessori Academy of Carrboro LLC Party/Vendor Contact Person: <br /> Janice Fakhoury Contact Phone: 919-869-7368 Party/Vendor Address: 103 Laurel Avenue City <br /> Carrboro State:NC Zip: 27510 Department: Economic Development Amount: $5,000 Purpose: <br /> Emergency Small Business Funding Prog am Budget Code(s): 34600020-900047 Vendor#N/A <br /> (N/A if new vendor) <br /> This agreement is approved as to technical form and content and I as Department Director <br /> affirmatively state work on this project has not been initiated prior to execution of the agreement: <br /> �1° dw 5/6/2020 <br /> Department Director's Signature " `" Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and <br /> Fiscal Control Act: <br /> o sip ennv 5/6/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> m0o31�°°°+� 5/6/2020 <br /> Office of the County Attorney �Ls �fx" Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Sherri Ingersoll upon completion: <br /> singersoll@orangecountync.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 /> Esbfpgc 043020 v0.2 <br />