HomeMy WebLinkAboutR 2015-646-E Arts - Michael Roy Layne - Fall 2015 Arts Grant Agreement DocuSign Envelope ID: 124C6798-3E02-41 F0-A0B2-48070A27BF55
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Michael Roy Layne Party/Vendor Contact Person: Michael Roy Layne Contact Phone:
919/616-8427 Party/Vendor Address: 442 S. Main Street City Warrenton State: NC Zip: 27589 Department:
EDC-Arts Commission Amount: $500 Purpose:Fall 2015 Arts Grant Award Budget Code(s): 37601020 683001
Vendor#61719 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date date of County 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 technical form and content:
DocuSigned by:
Department Director's Signature Svc $44,14i, Date:
12/21/2015
37BD4EFAC1 BE410...
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 of insurance standards,specifications,and requirements:
r DDocuSigned"by: 11
Office of the Risk Management Officer
Quo, Cort&A*& Date: 12/26/2015
°"° 7FDCF9178800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
// 12/28/2015
Office of the Chief Financial Officer (l s�osr�l�aoz Date:
S_---7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
i.--DocuSigned by:
Office of the County Attorney i _kw,. Date: 12/28/2015
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecountync.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:
5
Revised June 2015