HomeMy WebLinkAboutR 2016-447-E Arts - Susan Simone - Spring 2016 Arts Grant Agreement DocuSign Envelope ID:AD5F5195-5261-42DC-B9BC-OC3A2COAA716
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Susan Simone Party/Vendor Contact Person: Susan Simone Contact Phone: 919-942-9773
Party/Vendor Address: 1220 Tallyho Trail City Chapel Hill State: NC Zip: 27516 Department: Art Commition
Amount: $1,000 Purpose: Spring 2016 Arts Grant Award Budget Code(s): 37601020-683001 Vendor # 50270
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal❑ Amendment ❑ Effective Date- Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tec ' nbimmmtd content:
Department Director's Signature `"y Date: 8/12/2016
Information Technolosies
(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 p& jg4tandards, specifications,and requirements:
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Office of the Risk Management Officer Date: 8/13/2016
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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: F cuSigned by:
Office of the Chief Financial Officer � Date: 8/14/2016
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Legal Services
This agreement is approved as to .4neAilid sufficiency:
Office of the County Attorney 1`� Date: 8/15/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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:
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Revised June 2015