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DocuSign Envelope ID: DE9D6599-1A09-4BC8-A036-E22399F3882A <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Franklin Street Yoga Center, Inc. Party/Vendor Contact Person: Lori <br /> Hernandez Contact Phone: 919-259-1661 Party/Vendor Address: 431 W. Franklin St., Suite 410 <br /> City: Chapel Hill State:NC Zip: 27516 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 /> 2/17/2021 <br /> Department Director's Signature�' 8"""�``" 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 /> 2/18/2021 <br /> Office of the Chief Financial Officer 0-.&— Date: <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> by Office of the Count Attorney �0�` y�ll° Date:2/19/2021 <br /> Y Y b,.e... <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 />