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DocuSign Envelope ID:71929983-FDE7-4F37-B3C4-E152B3C67F35 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Honey Magpie Party/Vendor Contact Person: Rachael Hurwitz Contact <br /> Phone: 203-430-1881 Party/Vendor Address: 104 Waverly Forest Lane City: Chapel Hill State: <br /> NC Zip: 27516 Department: Economic Development Amount: $3,000 Purpose: Emergency <br /> Small Business Funding Program Budget Code(s): 48600020-900091 Vendor# 66425 (N/A if <br /> new vendor) <br /> This agreement is approved as to technical form and content and I as Department Director <br /> affirmatively state work on this project has not been initiated prior to execution of the agreement: <br /> 2/19/2021 <br /> Department Director's Signature �`o"a$" `°" 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 /> °`° 2/20/2021 <br /> Office of the Chief Financial Officer I Date: <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o <br /> Office of the Count r 2/22/2021 <br /> Y Attorney 4kA Date:l <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 />