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DocuSign Envelope ID: BC674FAE-E8AE-400E-BA69-74A264F89B28 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Sam's Barbecue & Chop House, LLC Party/Vendor Contact Person: Sam <br /> Suchoff Contact Phone: 919-636-2005 Party/Vendor Address: 630 Weaver Dairy Rd suite 101 <br /> 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# 61755 (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 /> 3/1/2021 <br /> Department Director's Signature LZB Date: <br /> F�� . <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 /> 3/2/2021 <br /> Office of the Chief Financial Officer Date: <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �� 3/2/2021 <br /> Office of the County 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 />