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HomeMy WebLinkAboutR 2018-430 Arts - Jacob Miller Max Dowdle arts grant6 Revised July 2018 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Jacob Maximillian Miller Dowdle Party/Vendor Contact Person: Jacob Maximillian Miller Dowdle Contact Phone: 8439915792 Party/Vendor Address: 425 West King Street City Hillsborough State: NC Zip: 27278 Department: COUNTYMGR/Arts Commission Amount: $454 Purpose: 2018-19 Arts Grants Budget Code(s): 37601020-683001 Vendor # 65242 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 8/8/2018 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director’s Signature ________________________________________ Date: ________ 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: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ 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:_________ DocuSign Envelope ID: 4657CA02-746E-4CBC-BE73-725840490C57