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DocuSign Envelope ID:04780306-2FE5-41 F3-A899-31 B2FA770EC9 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Acupuncture and Apothecary, LLC Party/Vendor Contact Person: Abigail <br /> Wear Contact Phone: 919-241-5395 Party/Vendor Address: 1829 East Franklin Street, Suite 900- <br /> C City Chapel Hill State:NC Zip: 27514 Department: Economic Development Amount: $3,000 <br /> Purpose: Emergency Small Business Funding Program Budget Code(s): 48600020-900091 <br /> Vendor# N/A (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 /> Department Directors Signature Date:2/16/zozl <br /> e <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 /> 2/16/2021 <br /> Office of the Chief Financial Officer Date: <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the Count Era 2/18/2021 <br /> y Attorney ��, Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: <br /> occlerkdocs@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 /> Esbfp 070120 v1 <br />