HomeMy WebLinkAboutR 2019-696 Arts - Kim Lane arts grant DocuSign Envelope ID:53DEBE36-7231-45B8-A7CC-2442AA9665F7
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kim Lane Party/Vendor Contact Person: Kim Lane Contact Phone: 9197975211
Party/Vendor Address: 4400 Regis City Durham State: NC Zip: 27705 Department: COUNTYMGR/Arts
Commission Amount: 1022.04 Purpose: 2019-20 Arts Grants Budget Code(s): 37601020-683001 Vendor#65821
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New
Renewal❑ Amendment ❑ Effective Date 10/1/19 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tecl,-;- -n„tP'lt:
�U^ocuSigned by:
Department Director's SignatureCOAK81BUB364N
YES �M`A' Date: 10/1/2019
.
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 nfi]ocus g ea ayct""1'rds,specifications,and requirements:
Office of the Risk Management Officer. &A "_� 6 Date: 10/2/2019
7FDCF0176800408.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Docu5igned by:
Office of the Chief Financial Officer 4 Date: 10/2/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to lPaal fnrm a 1111 enffiriency:
[OocuSigned by:
'Office of the County Attorne + � ,aw _ Date: 10/2/2019
_�4035CB8304CA4M
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran eg count nc.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 July 2018