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DocuSign Envelope ID:3B6F7CE7-EF62-4C8E-A74B-CCEC3AE193FC <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: <br /> Sam A. 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: $7,973.68 <br /> Purpose: Emergency Small Business Funding Program Budget Code(s): 34600020-900047 Vendor# <br /> 61755 (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 /> sa " 5/14/2020 <br /> Department Director's Signature � `g"`" `� 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 /> Sig—by 5/14/2020 <br /> Office of the Chief Financial Officer ;"�'" Date: <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> °...Sig—by: 5/14/2020 <br /> Office of the County Attorney P°"``s tea""' Date: <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 />