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DocuSign Envelope ID:EBA98D40-0F61-4E2C-8792-58D0C30E5F84 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Inflate-A-Party Party/Vendor Contact Person: Jeff Kelly Contact Phone: 919-740-2429 <br /> Party/Vendor Address: 11781 US HWY 64 West City Apexx State: NC Zip: 27523 Department: DEAPR Amount: <br /> 1,325.84 Purpose: Egg Hunt Inflatables Budget Code(s): 10511020-630000 Vendor # 62960 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date n/a Approved by Board Yes No Agenda Date: n/a <br /> This agreement is approved as to tecjinikfltifgswdgpd content: <br /> Department Director's Signature Slta�' l Date: 3/12/2017 <br /> `-611 CFA1 D507A495... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> r---DocuSIggned""by: <br /> '' <br /> Office of the Risk Management Officer MSC(' Cort&c,ttll� <br /> b Date: 3/13/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited infthenBaatioaa soquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer o �� � Date: 3/22/2017 <br /> `—7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to leUggaaq}d sufficiency: <br /> Office of the County Attorney d �o� S Date: 3/23/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <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 2/17 5 <br /> DS <br /> . <br />