HomeMy WebLinkAboutR 2016-323-E Arts - Jeannette Brossart - Spring 2016 Arts Grant Award DocuSign Envelope ID: 3F12CD86-8239-4E1E-BCE6-2327E57AF832
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Jeannette Brossart Party/Vendor Contact Person: Jeannette Brossart Contact Phone:
919/384-0734 Party/Vendor Address: 4425 Bracada Drive City Durham State:NC Zip: 27705 Department: EDC
-Arts Commission Amount: $1,000 Purpose: Wiring 2016 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 County Manager's signature Approved by Board
Yes®No[:] Agenda Date: approval of FY17 county budget by BOCC-June 21,2016
This agreement is approved as to technical form and content:
Docu5igned by:
Department Director's Signature 6/24/2016
$ vc $ a.x Date:
37BD4EFAC1BE410...
Information Technologies
(Applicable only to hardivare/sofhvare 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 riusa' r wt,il6 Date: 6/24/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
gned by:
Office of the Chief Financial Officer DocuSi Date:
6/27/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
igned by:
Office of the County Attorney DocuS
Date: 6/27/2016
4035CE8304CA4A9...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg count n�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