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DocuSign Envelope ID:A22B2E9F-380E-4015-AA14-DBA7ABFOD1 DE <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Lady Edison, LLC Party/Vendor Contact Person: Sam A. Suchoff Contact <br /> Phone: 919-636-2005 Party/Vendor Address: 630 Weaver Dairy Rd suite 101 City: Chapel Hill State: <br /> NC Zip: 27514 Department: Economic Development Amount: $7,973.68 Purpose: Emergency <br /> Business Funding Program Budget Code(s): 34600020-900047 Vendor# 66206 (N/A if new vendor) <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively <br /> state work on this project has not been initiated prior to execution of the agreement: <br /> Doe Sig <br /> -d by: S/14/2020 <br /> Department Director's Signature �`� $"" Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: <br /> DocuSignedby: 5/14/2020 <br /> Office of the Chief Financial Officer � Date: <br /> ]DAESIHTSCCT30... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> EA; <br /> SIg dby: 5/14/2020 <br /> Office of the County Attorney g ns b°'m. Date: <br /> �A4F5... <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 /> ESBLPLSA <br />