HomeMy WebLinkAboutR 2015-619-E ED - Susan Laswell - Agricultural Grant Agreement DocuSign Envelope ID:A61 F1 3B3-D4A4-4A4C-872D-5648F7AD948D
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Susan Laswell Party/Vendor Contact Person: Susan Laswell Contact Phone: 919-740-7653
Party/Vendor Address: 2332 Western Park Lane City Hillsborough State: NC Zip: 27278 Department: Economic
Development Amount: $1,000.00 Purpose: Agricultural Grant award Budget Code(s): 34600020-900050 Vendor
4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date 12/3/15 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tec 9ve $gkWvtTA%d content:
Department Director's Signature 444- c� Date: 12/3/2015
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Information Technologies
(Applicable only to hardware/software 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 sufficiency-of6matuataystandards,specifications,and requirements:
Q�ISArbvwc 1t0 12/7/2015
Office of the Risk Management Officer F-nr Q-V-UCgggg Date.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: (:�uSig ned by:
Office of the Chief Financial Officer Date: 12/7/2015
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Legal Services
This agreement is approved as to '""P"sufficiency:
,�auxt,S V' a.ln,
Office of the County Attorneya �� Date: 12/8/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecoun.nc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: