Orange County NC Website
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 />12/1/2021 <br />Revenue <br />N/A <br />Three year interlocal agreement between Town and <br />Orange County for Launch funding. <br />The last contract was #8957 for reference. <br />$220,500 <br />x2742 <br />11452 <br />Interlocal Agreement- Town/County Launch funding <br />N/A <br />DocuSign Envelope ID: 3E20E318-A840-4661-8EF2-4F272AB386D8 <br />10/26/202110/26/2021 <br />11/3/2021 11/3/2021 <br />11/3/2021 11/3/2021 <br />11/3/2021 11/3/2021 <br />11/10/202111/10/2021 <br />11/18/2021 11/18/2021