HomeMy WebLinkAboutR 2018-568 Coop Ext - Pupuseria Dona Laura LocalFest vendor CZolg - 5�5�
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
PartyNendor Name: Puuuseria Dona Ixura Party/Vendor Contact Person: Iosefina Salazar Zeoeda Contact
Phone: Party/Vendor Address: 813 Carter Avenue City Durham State: NC Zip: 27703 Department:
County Manager Amount: LO Purpose: Food Vendor Budget Code(s): 34600020 900057 Vendor M 65328 (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❑ Np❑ Agenda Date:
This agreement is approved as to technical form and content: j
Department Director's Signature�/— Date: �/0
Information Technologies
(Applicable only to hardware/soJhvare 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 sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer Date: —r-%'-F�s'
jfinancialffiel2rices
This instrument has been pre-audited in the at by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: ap
Legal Services
This agreement is approved as to legal form and suffi ie y:
Office of the County Attorney Date: �U
Jerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sheri Ingersoll upon completion: simsmi llRoraneecounNnc.gov
The following signature block is for hard copies only and is not required for Docusign contacts:
Office of the Clerk to the Board Date:
LF2018 v.1.
7