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DocuSign Envelope ID:61CAADBE-A7C0-40D3-B313-2E97E4C573F6 <br /> ORANGE COUNTY--DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Inflate-A-Party PartyNcndor Contact Person: Jeff Kelly Contact Phone: 919.740.2429 <br /> Party/Vendor Address: 11781 US Hwy 64 West City Apex State: NC Zip: 27523 Department: DEAPR Amount: <br /> X1167 Purpose: Bounce Houses-Egg Hunt Budget Code(s): 10511020 630000 Vendor# (NIA if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one) New M Renewal ❑ Amendment ❑ <br /> Effective Date Marcia 21,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical for Fvm�Rht teAW <br /> Department Director's Siguatiu e �favt <br /> -u Date: 3/4/2015 <br /> s1-1-C�-B5a7A495_ <br /> Information Teelinolo2ies <br /> (Applicable only to hai•rlrv(tr e/softit,ai e piii•cliases or mlaled se)vlces)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of(lie Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of mama gaigd'arrds,specifications,and requirements: <br /> Q�tSA. c6vvt,e,tt0 <br /> Office of the Risk Management Officer FDCF9 6866k Date: 3/5/2015 <br /> Financial Services <br /> This instrument has been pre-audited in tl��mnurgrFAR47R 83 i wf r d by the Local Government Budget and Fiscal Control Act: <br /> m 3/5/2015 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to le�FAAMKEMA8465 o�°ii3s,itiii st�iffclency: <br /> blA,la �b�tV(S 3/6/2015 <br /> Office of the County`Attorney` ... Date: <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion a@ Dolloyd9( orangecountync._gay <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10134 4 ff <br />