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DocuSign Envelope ID: 73A4D38E- D043- 4DC5- 8B37- 39F219B23A3E <br />VENDOR NAME: Los Altos 11C <br />Primary Contact Person: <br />VENDOR APPLICATION <br />lose olivares Lemus <br />Address: 1873 Birmingham rd <br />Telephone: <br />Website <br />ACTIVITIES — PRODUCTS —DISPL AY <br />City: <br />Hillsborough <br />State: N c Zip: 27278 <br />Email Address: joselemusjose@aol.com <br />List ALL of the products which you will be displaying or sellinq AND /OR activities you will be performinq durinq the <br />Orange County Local Fest. Vendor locations will be assigned based on this list. Food vendors only— attach full menu. <br />Tacos, Burritos,Quesadillas, Taco plate, rice bowl, flavor water and sodas <br />Electrical generator needed? Yes No <br />SIGNATURE / ACKNOWLEDGMENT <br />The applicant understands that this is an APPLICATION for space ONLY, and it is NOT a CONTRACT with Orange <br />County. <br />I have read and understand the Vendor Rules and Regulations in their entirety and will comply with all terms and <br />conditions within. I will make the Rules and Regulations available to all persons operating booths) /stand(s) and <br />ensure their compliance as well. The individual executing below represents to Orange County that such individual has <br />the authority to represent any entity purported to be represented by such individual. By my signature below, I hereby <br />agree to all terms and conditions set above. <br />I understand that Orange County reserves the right to cancel at any time all contracts made with vendors for ANY <br />conduct at any time deemed unprofessional by Orange County that would have resulted in denial of this application. <br />understand this Orange County sponsored event may be canceled at any time for any reason and in the event <br />of such cancellation any contract I may enter with Orange County related to this event will be voidable by <br />Orange County. I understand and agree to abide by all applicable local, state, and federal laws. <br />I certify that the information stated in this application is complete and true to the best of my knowledge. <br />DocuSigned by: <br />Signature of Applicant: ( _Date: 9/10/2018 <br />3D74CdE5'1928459... <br />Print Name: <br />