HomeMy WebLinkAboutR 2017-063-E Arts - Hillsborough Presbyterian Church - Fall 2016 Arts Grant Agreement DocuSign Envelope ID: 1AAAAB90-CE45-4C70-BFF6-9C6B412A4075
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Hillsborough Presbyterian Church Party/Vendor Contact Person: Karen Wysocki Contact
Phone: 919-732-3131 Party/Vendor Address: PO Box 717 City Hillsborough State: NC Zip: 27278 Department:
COUNTYMGR/Arts Commision Amount: 375.00 Purpose: Fall 2016 Arts Grants Budget Code(s): 37601020
683001 Vendor # 63160 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New® Renewal❑ Amendment ❑ Effective Date 1/17/2017 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technboalsfo rand content:
Department Director's Signatur C'r"iS kr Nu Date: 2/2/2017
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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 of insurance standards, specifications,and requirements:
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Office of the Risk Management Officer ((USX �,Orv�16 Date: 2/3/2017
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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: DocuSigned by:
Office of the Chief Financial Officer
r1-1- 0-1.h°'L Date: 2/8/2017
7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legocuSigal form and sufficiency:
ned by:
Office of the County Attorne _k6 Date: 2/9/2017
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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:
6
Revised January 2017