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Docusign Envelope ID: El 96FFB6-481 D-48D1-A670-07B9001 1 COBE <br /> Contract# <br /> From Munis Contract Entry <br /> TOWN OF CHAPEL HILL Print Form <br /> ROUTING FORM <br /> Vendor/Contractor Name: Town of Chapel Hill <br /> Document Name/Title: Orange County Community Climate Action Grant-EV Garbage TruckPilot Bid <br /> #(If applicable) N/A <br /> Department:Manager's Office <br /> Return To: Brennan Bouma <br /> Contact Person:Brennan Bouma <br /> Department: Manager's Office <br /> Phone Number:919-969-5011 <br /> Date Received Date Forwarded Initials <br /> DS <br /> Department Head (Review&Approve) 5/17/2023 5/17/2023 <br /> Purchasing & Contracts Manager 5/17/2023 5/17/2023 <br /> Finance Officer (Per Budget Act) 5/18/2023 5/18/2023 � <br /> (Legal Services 5/18/2023 5/18/2023 D5 <br /> Legal Review <br /> Administrator) <br /> (Legal—Form and 5/18/2023 5/18/2023 ��DS <br /> Authorization) <br /> Deputy/Town Manager (If Required) 5/22/2023 5/22/2023 IAL�N— <br /> Town Clerk (Attest, Date and Notarize) 5/24/2023 5/24/2023 D5 <br /> F 0- <br /> Purchasing & Contracts Mgr (Distribution and Mailing) 6/5/2023 6/5/2023 FiD;S <br /> Deadline for Signing:None G/L Account Number(s): Contract Dollar Amount(s): <br /> Special Distribution Instructions Contract 23501-44230 $50,000 <br /> routing and approvals conducted through <br /> DocuSign.Once complete,Brennan Bouma will provide a fully executed <br /> copy to the Town of Chapel Hill's Purchasing and Contracts Office. Notes/Explanation <br /> The Town of Chapel Hill is providing a service to Orange <br /> County(Electric Garbage Truck Pilot)per an approved <br /> Community Climate Action Grant project. <br />