R 2016-125-E DEAPR - David Parker for family Valentine's dance photography services

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DocuSign Envelope ID:23198DBC-2CE3-4A6F-81A1-1021EAE24FDC ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: David Parker Party/Vendor Contact Person: David Parker Contact Phone: (919) 304-4457 Party/Vendor Address: 3002 Quantum Lane City Cedar Grove State: NC Zip: 27231 Department: DEAPR Amount: $525.00 Purpose: Family Valentine's Dance photogrqphy services Budget Code(s): 10511020 630000 Vendor # 61193 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New Renewal ❑ Amendment ❑ Effective Date February 11,2016 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to to�hVV,°cca�fyT7n potent: ��{TA 11 1/25/2016 Department Director's Signature 611cFA1D507A495... Date: 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 htswove))standards, specifications,and requirements: ausx r,O�6 1/25/2016 Office of the Risk Management Officer ,FncFaazaannAQ Date: Financial Services This instrument has been pre-audited i Dlga*i or-quired by the Local Government Budget and Fiscal Control Act: Lita Office of the Chief Financial Officer Date: 1/25/2016 E 1109 Legal Services This agreement is approved as t 48""Y•d,, sufficiency: 6 r6u��s 1/26/2016 Office of the County Attorney 3MUZA 5 Date: 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: Revised 1/16 4 DS D