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TOWN OF CHAPEL HILL ROUTING FORM <br />Vendor/Contractor Name: <br />Document Name/Title: <br />Department: <br />Contact Person: <br />Return To: <br />Department: <br />Date Received Initials <br />Purchasing & Contracts Mgr (Distribution and Mailing) <br />Date Forwarded <br />Department Head (Review & Approve) <br />Purchasing & Contracts Manager <br />Finance Officer (Per Budget Act) <br />Legal Review <br />Deputy/Town Manager (If Required) <br />Town Clerk (Attest, Date and Notarize) <br />Form Revised 12/2017 Please do not remove form if revisions to document are necessary <br />Deadline for Signing:G/L Account Number(s): <br />Notes/Explanation <br />Special Distribution Instructions <br />Vendor Mailing Address/Telephone <br />Contract Dollar Amount(s): <br />Phone Number: <br />Vendor # <br />Bid # (If applicable) <br />Contract #From Munis Contract Entry <br />Orange County <br />Economic Development <br />Laura Selmer <br />Laura Selmer <br />Economic Development <br />Revenue <br />MOU for economic development funds. Annual <br />allocation for FY22 is $39,600.00 <br />This MOU is being routed through Docusign, per <br />County procedure. <br />$39,600.00 <br />x2742 <br />11452 <br />MOU- FY 22 Article 46 Funding for Economic Development <br />N/A <br />DocuSign Envelope ID: 0C7CC7E0-E9CF-4EF9-9791-63632BF35F3F <br />8/4/2021 8/4/2021 <br />8/4/2021 8/4/2021 <br />8/4/2021 8/4/2021 <br />8/9/2021 8/9/2021 <br />9/27/2021 9/27/2021 <br />9/27/20219/27/2021