HomeMy WebLinkAboutR 2015-255-E Arts - Max Puhala for Spring 2015 Arts Grant Agreement DocuSign Envelope ID:684BD205-E201-4917-A887-C6D2D5CC92C7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Max Puhala Party/Vendor Contact Person: Max Puhala Contact Phone: 336/707-7356
Party/Vendor Address: 6123 Farrington Road, M7 City Chapel Hill State: NC Zip: 27517 Department: EDC -
Arts Commission Amount: $300 Purpose: Spring 2015 Arts Grant Award Budget Code(s): 37601020 683001
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date date of CouM Manager's signature Approved by Board
Yes®No❑ Agenda Date: approval of FY16 county budget by BOCC-June 16,2015
This agreement is approved as to tec ' ab&wmand content:
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Department Director's Signature cgF Date: 6/19/2015
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Information Technologies
(Applicable only to harchi are/softlVare purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc y jA§&yjRgqq,$andards,specifications,and requirements:
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Office of the Risk Management Officer QuSA, Date: 6/19/2015
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer to D""`bvu Date: 6/19/2015
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Legal Services
This agreement is approved as to sufficiency:
Office of the County Attorney 4"J ,1�, Date: 6/19/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountyna.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
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Revised June 2015