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DocuSign Envelope ID: FBCFAB34-FDE9-4C99-A502-89671647EFBA <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: KJC CORP Party/Vendor Contact Person: Jean Masse Contact Phone: <br /> 919-932-7266 Party/Vendor Address: 77 South Elliott Road City Chapel Hill State: NC Zip: <br /> 27514 Department: Economic Development Amount: $5,000 Purpose: Emergency Small <br /> Business Funding Program Budget Code(s): 34600020-900047 Vendor # N/A (N/A if new <br /> 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 /> $gam°k�' 5/6/2020 <br /> Department Director's Signature `" "" ` Date: <br /> C-ceracleu o. <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 /> �g d 5/6/2020 <br /> Office of the Chief Financial Officer Date: <br /> ?CNG'61/.C�14P1... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 31 WLV 5/6/2020 <br /> Office of the County Attorney Cmcs f"'�&L,, Date: <br /> .a�u:xW.•Frs=.. <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 />