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DocuSign Envelope ID: 8505C529 -2A44- 4321 - 8370- 63C40C7CC22E <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: David Parker Party/Vendor Contact Person: David Parker Contact Phone: (919) 286 -9512 ext. <br />249 Party/Vendor Address: PO Box 3005 City Durham State: NC Zip: 27715 Department: DEAPR- Recreation <br />Division Amount: 560.00 Purpose: Family Valentine's Dance- Photographv Budget Code(s): 10511020 630000 <br />Vendor # 61193 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br />New ® Renewal ❑ Amendment ❑ Effective Date February 9 2018 Approved by Board Yes❑ No® <br />Agenda Date: <br />This agreement is approved as to to @Wu"PMl Md content: <br />PAW <br />Department 1/24/2018 <br />Department Director's Signature Date: <br />Information TechnoloEies <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency iVq A §tandards, specifications, and requirements: <br />Office of the Risk Management Officer &0, r 0, (,bV1VY6 - F- rres Date: 1/24/2018 <br />Financial Services <br />This instrument has been pre- audited i e')RfRNWLIf pfquired by the Local Government Budget and Fiscal Control Act: <br />( 1/25/2018 <br />Office of the Chief Financial Officer 7neFt,n,nrr,eno Date: <br />Legal Services <br />This agreement is approved as t JJ � Whxd sufficiency: <br />Abu N. �b�LI�S 1/25/2018 <br />Office of the County Attorney Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd{`a,oran ecoun c.ov <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 <br />Revised 10/17 <br />5 <br />Date: <br />DS <br />D <br />