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Esbfpgc 043020 v0.2 <br />ORANGE COUNTY EMERGENCY LOAN PROGRAM—INTERNAL USE ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Notelknurc, LLC Party/Vendor Contact Person: Gary Crunkleton Contact <br />Phone: 919-969-1125 Party/Vendor Address: 320 West Franklin Street City Chapel Hill State: <br />NC Zip: 27516 Department: Economic Development Amount: $5,000 Purpose: Emergency <br />Small Business Funding Program Budget Code(s): 34600020-900047 Vendor # N/A (N/A if new <br />vendor) <br /> <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 /> <br /> <br />Department Director’s Signature _________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and <br />Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer _______________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney _____________________________________ Date: _________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board ___________________________________ Date:__________ <br /> <br /> <br /> <br />DocuSign Envelope ID: 96225188-C22C-443F-9334-006B3C9AC24C <br />5/21/2020 <br />5/21/2020 <br />5/21/2020