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DocuSign Envelope ID:444E83CA-38C0-4FA6-B91B-D74A62F54B12 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Hillsborough Gallery of Arts Inc Party/Vendor Contact Person: Michael <br /> Salemi Contact Phone: 919-732-5001 Party/Vendor Address: 121 D North Churton Street City <br /> Hillsborough State: NC Zip: 27278 Department: Economic Development Amount: $5,000 <br /> Purpose: Emergency Small Business Funding Program Budget Code(s): 34600020-900047 <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 /> L541 <br /> OCUSlgned by: 511212020 <br /> Department Director's Signature V, 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 /> D �S"g d by: <br /> Office of the Chief Financial Officer Ee*EE,a9 Date: 5/13/2020 <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> S"g d by: <br /> Office of the County Attorney F�Zs by9A' Date: 5/13/2020 <br /> 3ZSDL`�8g5dgAAF... <br /> Clerk to the Board <br /> Received for record retention: <br /> All DocuSign contracts must be copied to Sherri Ingersoll upon completion: <br /> singersoll@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 /> Esbfpgc 043020 v0.2 <br />