R 2017-545-E DEAPR - David Parker for costume contest photos

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DocuSign Envelope ID: 5BF27049-51C3-4525-BDFB-D869C0D48449 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- Recreation Amount: $140.00 Purpose: Costume Contest Photos 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 10/2/17 Approved by Board Yes No Agenda Date: This agreement is approved as to to ' ° c ' fdi�d content: Vii S'fatA tt 10/2/2017 Department Director's Signature �aas�n, zaags 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 sufficiencs :standards,specifications,and requirements: Risa r,6v,u.tt0 10/3/2017 Office of the Risk Management Office 7Fecfs 4Sao9498_. Date: Financial Services This instrument has been pre-audited i 42�x 9d quired by the Local Government Budget and Fiscal Control Act: +6d 10/4/2017 Office of the Chief Financial Officer ('B¢ ,�ncc,4o�. Date: Legal Services This agreement is approved as t `• sufficiency: ,) (u , lebtt S 10/5/2017 Office of the County Attorney aaaesaCDaaaass... 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: Revised 2/17 5 DS ( DO