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DocuSign Envelope ID:7C7602EB-29F3-4061-99CB-C6315D308A85 <br /> ORANGE COUNTY EMERGENCY LOAN PROGRAMINTERNAL USE ONLY <br /> Department <br /> Party/Vendor Name: Sheila Jeannine Rogers Party/Vendor Contact Person: Sheila Jeannine <br /> Rogers Contact Phone: 919-732-2013 Party/Vendor Address: 115 N Churton Street City: <br /> Hillsborou;h 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 /> 5/14/2020 <br /> Department Director's Signature� �g^ Date: <br /> 31HWEFAC,HEd'10... <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 /> 5/15/2020 <br /> Office of the Chief Financial Officer Date: <br /> `]OCE5151ACCiC08.. <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ­.Slg�by 5/15/2020 <br /> Office of the County Attorney 9M" by�� 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 /> Esbfpgc 043020 v0.2 <br />