HomeMy WebLinkAboutR 2016-105-E Arts - Ephesus Elementary School PTA - Fall 2015 Arts Grant Award DocuSign Envelope ID: FBE59735-B91D-4458-ABBA-952977038A66
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Ephesus Elementary School PTA Party/Vendor Contact Person: Kristen Stewart Contact
Phone: 919/929-8715 Party/Vendor Address: 1495 Ephesus Church Road City Chapel Hill State:NC Zip: 27517
Department: EDC - Arts Commission Amount: $1,000 Purpose: Fall 2015 Arts Grant Award Budget Code(s):
37601020 683001 Vendor # 55065 (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 FYI county budget by BOCC -June
16,2015
This agreement is approved as to technical form and content:
Docu5igned by:
Department Director's Signature Svc j?4444 c , Date:
1/2/2016
37BD4EFAC1BE410...
Information Technologies
(Applicable only to hcrdr>>cre/softivare 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:
Docu5igned"by: ��
Office of the Risk Management Officer
Fausa, , r,OV'ttd 6 Date: 1/4/2016
7FDCF9176800498...
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 Date: 1/4/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
igned by:
Office of the County Attorney DocuS Date: 1/6/2016
4035CE8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd 2corangecountync.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