R 2018-476 Coop Ext - Mystery Brewing LocalFest vendor

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DocuSign Envelope ID: 07544334- 5B9F- 40D0- 82E8- E05770411 D3C ORANGE COUNTY — DEPARTMENT USE ONLY Department Party/Vendor Name: Mystery Brewing Party/Vendor Contact Person: Erik Myers Contact Phone: 919 -697 -8379 Party/Vendor Address: 437 Dimmocks Mill Rd. City Hillsborough State: NC Zip: 27278 Department: County Manager Amount: $0 Purpose: Alcohol Vendor Budget Code(s): 34600020 900057 Vendor # 65296 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature . 8/23/2018 De p g l �GWUS VC.JA. Date: 0A3E81B126364B4... 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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: DocuSigned by: Office of the Risk Management Officer QUSA 8/24/2018 �,OWU,{�b Date: 7FDCF917CS00498... Financial Services This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer el-Cf-A 0. Date: 8/24/2018 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiencv: DocuSigned by: Office of the County Attorney �DL& P lfs Date: 8/24/2018 EAOMaEMAW5... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollkorangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board LF2018 v.1. 7 Date: