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DocuSign Envelope ID:29309198-E7F3-42E2-A27E-15F733D8F48C <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Jillian Mickens,dba Open Door Farm Party/Vendor Contact Person: Jillian Mickens Contact <br /> Phone: 919-889-1299 Party/Vendor Address: 3116 Carr Store Rd City Cedar Grove State: NC Zip: 27231 <br /> Department: Economic Development Amount: $7841.00 Purpose: Ag Economic Development Grant Budget <br /> Code(s): 34600020-900050 Vendor#61912 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 1/29/21 Approved by Board <br /> Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content: <br /> 0ocU Sig— <br /> by: <br /> 1/29/2021 <br /> Department Director's Signature " Date: <br /> SiE4BM1El"�tRE41B.. <br /> Information Technolouies <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 insurance standards,specifications,and requirements: <br /> Sig—by 1/29/2021 <br /> Qlisa(,armR, 6 <br /> Office of Risk Management Date: <br /> vrssremeees�ee... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ° sia any: 2/1/2021 <br /> Office of the Chief Financial Officer �" Date: <br /> iDiE5181AE6'Ii BB.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ° sia any: 2/2/2021 <br /> Office of the County Attorney J411 r6� Date: <br /> �E]R3[33E�HARL95_ <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 <br />